Physician Assistant
JEREMIAH JORGENSEN P.A.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1669704045 · enumerated 2010-02-09 · record updated 2026-06-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 6460 MEDICAL CENTER ST STE 350, LAS VEGAS, NV, 89148-2423 (702) 255-6647 Fax (702) 933-1444 Google Maps Apple Maps OpenStreetMap
- Practice location 148 S 1100 E, AMERICAN FORK, UT, 84003-2817 (385) 336-7461 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 8152398-1206 UT
- Physician Assistant 363A00000X · License 4597 AZ
- Physician Assistant 363A00000X · License PA2046 NV
In this directory
Locations and evidence
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Practice location
AMERICAN FORK, UT, 840032817
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.