Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremiah Jorgensen, PA

Individual provider Physician Assistant · NPI 1669704045

Jeremiah Jorgensen, PA is a Physician Assistant in American Fork, Utah. Practices as a sole proprietor and works from 3 locations. Licensed in Arizona, Nevada and Utah.

Licensed in
AZ, NV, UT
In the registry since
2010
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

148 S 1100 E
American Fork, UT 84003-2817
Phone: (385) 336-7461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6460 Medical Center St Ste 350, Las Vegas, NV 89148-2423 — (702) 255-6647
  • 3584 W 9000 S, West Jordan, UT 84088-5710 — (801) 568-3480

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8152398-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 4597 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA2046 (NV)

Record details

NPI number1669704045
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 9, 2010
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

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