| Heather L Jorgensen, | |
|
295 S 1470 E Ste 300, St George, UT 84790-1962 | |
| (435) 674-0999 | |
| (435) 674-0960 |
| Full Name | Heather L Jorgensen |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 295 S 1470 E Ste 300, St George, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548787708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 138537734402 (Utah) | Primary |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather L Jorgensen, 295 S 1470 E Ste 300, St George, UT 84790-1962 Ph: (435) 674-0999 | Heather L Jorgensen, 295 S 1470 E Ste 300, St George, UT 84790-1962 Ph: (435) 674-0999 |
Ellen S Margles, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 295 S 1470 E Ste 300, St George, UT 84790 Phone: 435-674-0999 Fax: 435-674-0960 | |
Mrs. Cyndia L. Johnson, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 375 E Tabernacle St, St George, UT 84770 Phone: 435-817-7696 | |
Katrina Adele Gubler, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 295 S 1470 E Ste 300, St George, UT 84790 Phone: 435-674-0999 Fax: 435-674-0960 |