SANDRA JORGENSEN CNP NPI 1366468811

NPI Information

NPI: 1366468811
Provider Name: SANDRA JORGENSEN, CNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
16313 LAKE AVE
LAKEWOOD, OH
ZIP 44107
Phone: (216) 529-9727
Get Directions

Sandra Jorgensen, CNP is a gerontology nurse practitioner in Lakewood, OH. Sandra Jorgensen, CNP NPI is 1366468811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16313 LAKE AVE
LAKEWOOD, OH
ZIP 44107-250
Phone: (216) 529-9727

The enumeration date for this NPI number is 7/15/2006 and was last updated on 7/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	NP01060	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J0NP04902	MEDICARE PIN	OHIO
2	P00445902	OTHER	OHIO	RAILROAD MEDICARE
3	S97599	MEDICARE UPIN	OHIO
4	743709	OTHER	OHIO	BUCKEYE
5	000000541027	OTHER	OHIO	ANTHEM
6	422452	OTHER	OHIO	WELLCARE
7	2160610	MEDICAID	OHIO
8	7563433	OTHER	OHIO	AETNA
9	000000226064	OTHER	OHIO	UNISON
10	JONP78021	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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