IndividualActive
Alicia Jorgensen, FNP-C
NPI 1770262016 · Family Nurse Practitioner · Ammon, ID
Provider details
- NPI number
- 1770262016
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 57312 (ID)
Mailing address
3088 E Chasewood Dr
Ammon, ID 83406-4852
Registry dates
- Enumerated
- 2023-07-13
- Last updated
- 2023-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.