Individual provider · Type 1 NPI
Jaclyn Michele Mortensen, APRN
Acute Care Nurse Practitioner · Springdale, AR
NPI number
1679432926
Active
Practice location
3901 Parkway Cir
Springdale, AR 72762-6362
Fax (479) 587-1366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 124837 (AR) |
| Adult Health Nurse Practitioner | 363LA2200X | 124837 (AR) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1679432926
Jaclyn Michele Mortensen, APRN's National Provider Identifier is 1679432926, issued on Jan 21, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Springdale, AR. The record was last updated on Jul 6, 2026.