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JUSTIN L MORTENSEN
NPI 1376333872
Student in an Organized Health Care Education/Training Program in Fort Eisenhower, GA

Active since May 08, 2025
201 3RD AVE BLDG 38200, PMB 216, FORT EISENHOWER, GA 30905(414) 573-1502 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin L Mortensen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN L MORTENSEN (NPI 1376333872) is an individual student in an organized health care education/training program in Fort Eisenhower, Georgia and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1376333872
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN L MORTENSEN
Location Address201 3RD AVE BLDG 38200, PMB 216Fort Eisenhower, GA 30905
Mailing Address201 3rd Ave Bldg 38200, Pmb 216Fort Eisenhower, GA 30905 · (414) 573-1502
Phone(414) 573-1502
Sole ProprietorYes
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1376333872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
201 3RD AVE BLDG 38200, Fort Eisenhower, GA 30905
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTRUST, P.C.
Dentist (General Practice)
201 3RD AVE BLDG 38200
FORT GORDON, GA 30905
Richmond County (267) 927-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Mortensen's NPI number?

The NPI number for Justin Mortensen is 1376333872. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Justin Mortensen located?

Justin Mortensen practices at 201 3rd Ave Bldg 38200 Pmb 216, Fort Eisenhower, GA 30905. The listed phone number is (414) 573-1502.

What is Justin Mortensen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Mortensen was last updated on May 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.