IndividualActive
Jason Jorgensen, PA-C
NPI 1366953754 · Physician Assistant · Ephraim, UT
Provider details
- NPI number
- 1366953754
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 10528188-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
525 N Main St
Ephraim, UT 84627-1155
Phone: (435) 283-4076
Approximate (ZIP-level) locationGet directions
Mailing address
561 N 2400 W
Provo, UT 84601-7268
Registry dates
- Enumerated
- 2017-10-12
- Last updated
- 2017-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.