Provider Demographics
NPI:1922728286
Name:JORGENSEN, AUBREY JEAN (FNP)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:JEAN
Last Name:JORGENSEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13017 RIDGEWAY MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-9829
Mailing Address - Country:US
Mailing Address - Phone:661-809-0703
Mailing Address - Fax:
Practice Address - Street 1:1215 34TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2107
Practice Address - Country:US
Practice Address - Phone:661-489-3341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022354363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily