CONNIE JORGENSEN MSRNCS NPI 1417140724

NPI Information

  • NPI: 1417140724
  • Provider Name: CONNIE JORGENSEN MSRNCS
  • Classification: Clinical Nurse Specialist - 364SP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 2340 PATRICK HENRY PKWY
    STE 225
    MCDONOUGH, GA
    ZIP 30253
  • Phone: (770) 389-8100

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NPI Details

CONNIE JORGENSEN MSRNCS is a psychiatric/mental health clinical nurse specialist in Mcdonough, GA. CONNIE JORGENSEN MSRNCS NPI is 1417140724. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2340 PATRICK HENRY PKWY
STE 225
MCDONOUGH, GA
ZIP 30253-214
Phone: (770) 389-8100
Fax: (770) 389-3030

The provider's authorized official is Maria Connie Jorgensen .
The authorized official title is President and has the following contact phone number (770) 389-8100.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 4/6/2009.

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
1364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health098399GEORGIAYes

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: 11/21/2025

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