Alicia Jorgensen, FNP-C | |
3088 E Chasewood Dr, Ammon, ID 83406-4852 | |
(208) 240-1318 | |
Not Available |
Full Name | Alicia Jorgensen |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3088 E Chasewood Dr, Ammon, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770262016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 57312 (Idaho) | Primary |
Entity Name | Sterling Provider Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205300407 PECOS PAC ID: 2264773373 Enrollment ID: O20190417001724 |
Mailing Address | Practice Location Address |
---|---|
Alicia Jorgensen, FNP-C 3088 E Chasewood Dr, Ammon, ID 83406-4852 Ph: (208) 240-1318 | Alicia Jorgensen, FNP-C 3088 E Chasewood Dr, Ammon, ID 83406-4852 Ph: (208) 240-1318 |
Jayde Barnes, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500 Fax: 208-346-7501 | |
Melissa Phillips Fehrenbacker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1499 Curlew Dr, Ammon, ID 83406 Phone: 208-227-3355 Fax: 208-529-6631 | |
Christopher James Jankowski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7500 | |
Nicole Boyle, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-757-3973 | |
Colton Jeffery Phelps, MSN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 | |
Michelle Norman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2705 E 17th St, Ammon, ID 83406 Phone: 208-346-7501 | |
David Paul Adams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1675 Curlew Dr, Ammon, ID 83406 Phone: 208-523-5319 Fax: 208-523-5627 |