Jesse Jorgensen
Jesse Jorgensen is an Athletic Trainer in Monroe, Wisconsin. Licensed in Illinois and Wisconsin. Registered with an NPI since 2014.
- Licensed in
- IL, WI
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
1700 30th Ave Apt 1Monroe, WI 53566-3161
Phone: (920) 609-8530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 1599-39 (WI) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 096003778 (IL) |
Record details
| NPI number | 1649687401 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 14, 2014 |
| Last updated in NPPES | July 22, 2014 |
| Mailing address | 1700 30th Ave Apt 1, Monroe, WI 53566-3161 |
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