| Doctor Name: | MS. CHERYL E JURGENS |
| NPI Number: | 1689633612 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP, CDE |
| License Number: | R0912376 |
| Business Practice Address: | 450 Eastvold Ave Ortonville, MN - 562781252 |
| Business Phone Number: | 3208396157 |
| Business Fax Number: | 3208393851 |
| Mailing Address: | 450 Eastvold Ave, ORTONVILLE |
| State: | MN |
| Postal Code: | 562781252 |
| Phone Number: | 3208396157 |
| Fax Number: | 3208393851 |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 05/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R0912376 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |