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Contact Information

BRYNN J JORGENSEN, FNP-BC
11075 S STATE ST STE 3
SANDY, UT84070-5165
 Phone: 801-696-9459
 Fax: 802-494-4742
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for BRYNN J JORGENSEN · (Female)

NPI Number 1093579740
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 02/12/2024
Last updated 04/11/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 9043364-3102
  • UT License # 9043364-4405
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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