Individual provider · Type 1 NPI

Beverly S. Jorgenson, NNP

Nurse Practitioner · St. Paul, MN

NPI number 1629022249 Active

Practice location

640 Jackson St
St. Paul, MN 55101-2502

Call (651) 254-3456 Map

Fax (651) 254-2502

Mailing address

8100 34th Ave S, MC21110Q
Bloomington, MN 55425-1672

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR1596319 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1629022249

Beverly S. Jorgenson, NNP's National Provider Identifier is 1629022249, issued on May 19, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 13, 2026.