Jesse A. Jorgensen, PAC

Physician Assistant · Layton, UT

Individual Active NPI

NPI number 1336130889

Practice location

1580 W Antelope Dr
Suite 100
Layton, UT 84041-1160
Phone
(801) 927-1632
Fax
(801) 927-1591

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NPI record

NPI
1336130889
Entity type
Individual (Type 1)
Enumeration date
November 3, 2005
Last updated
October 29, 2021
Certified
October 29, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 6124415-1206 UT
Physician Assistant 363A00000X PA907 NV
Physician Assistant 363A00000X PA17883 CA

Mailing address

1566 E 1700 S
SLC, UT 84105
Phone
(801) 773-8644
Fax
(775) 246-4186

About Jesse Jorgensen

Jesse A. Jorgensen, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1580 W Antelope Dr, Suite 100, Layton, UT 84041-1160. The NPI number 1336130889 was assigned on November 3, 2005 and the record was last updated on October 29, 2021.

Jesse Jorgensen lists 3 licenses in the registry: #6124415-1206 (UT) for Physician Assistant; #PA907 (NV) for Physician Assistant; #PA17883 (CA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jesse A. Jorgensen, PAC?

The NPI number is 1336130889.

What is the phone number of Jesse Jorgensen?

The phone number listed for the practice location is (801) 927-1632.

Where is Jesse Jorgensen located?

1580 W Antelope Dr, Suite 100, Layton, UT 84041-1160.

What is the taxonomy code for Jesse Jorgensen?

The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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