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Jennifer Marie Province
Family Nurse Practitioner in La Grande, Oregon
NPI 1003437617

Jennifer Marie Province is a Family Nurse Practitioner based in La Grande, OR and is specialized in Family. Jennifer Marie Province practices in La Grande, OR. The NPI Number for Jennifer Marie Province is 1003437617 and holds a License No. 202007639NP-PP (Oregon).

The current practice location address for Jennifer Marie Province is 1 University Blvd, La Grande, OR and can be reached out via phone at 541-962-3803.

Location: 1 University Blvd, La Grande, OR, 97850-2511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003437617
Provider Name
Jennifer Marie Province
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 University Blvd, La Grande, OR, 97850-2511
Phone Number
541-962-3803
Fax Number
Provider Enumeration Date
05/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 University Blvd
City
La Grande
State
Oregon
Zip
97850-2807
Phone Number
541-962-3803
Fax Number
person
Provider Business Mailing Address Details
Address
1 University Blvd
City
La Grande
State
Oregon
Zip
97850-2807
Phone Number
541-962-3803
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
202007639NP-PP (Oregon)
Definition
Definition to come...
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