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Autumn D Mercer Agnp-c Llc
Adult Health Nurse Practitioner in Jacksonville, Oregon
NPI 1790241065

Autumn D Mercer Agnp-c Llc is an Adult Health Nurse Practitioner based in Jacksonville, OR and is specialized in Adult Health. Autumn D Mercer Agnp-c Llc practices in Jacksonville, OR. The NPI Number for Autumn D Mercer Agnp-c Llc is 1790241065 and holds a License No. (Oregon).

The current practice location address for Autumn D Mercer Agnp-c Llc is 620 N 5Th St, Jacksonville, OR and can be reached out via phone at 503-309-8026 and via fax at 541-291-9819.

Location: 620 N 5Th St, Jacksonville, OR, 97530-9659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790241065
Provider Name
Autumn D Mercer Agnp-c Llc
Credential
Provider Entity Type
Organization
Address
620 N 5Th St, Jacksonville, OR, 97530-9659
Phone Number
503-309-8026
Fax Number
541-291-9819
Provider Enumeration Date
02/12/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500733407 05 OR
institution
Provider Business Practice Location Address Details
Address
620 N 5Th St
City
Jacksonville
State
Oregon
Zip
97530-9659
Phone Number
503-309-8026
Fax Number
541-291-9819
person
Provider Business Mailing Address Details
Address
620 N 5Th St
City
Jacksonville
State
Oregon
Zip
97530-9659
Phone Number
503-309-8026
Fax Number
541-291-9819
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
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Definition
Definition to come...
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