Individual provider · Type 1 NPI

Marisa Jean Jergenson, RN, BSN, CADC

Registered Nurse · Fort Dodge, IA

NPI number 1902482300 Active

Practice location

211 Avenue M W
Fort Dodge, IA 50501-5789

Fax (515) 955-7628

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	21037 (IA)
Registered Nurse Primary	163W00000X	131852 (IA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1902482300

Marisa Jean Jergenson, RN, BSN, CADC's National Provider Identifier is 1902482300, issued on Mar 24, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Dodge, IA. The record was last updated on Jun 19, 2023.