person
Julie Anne Leister, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Roseburg, Oregon
NPI 1902569320

Julie Anne Leister is a Psychiatric/Mental Health Nurse Practitioner based in Roseburg, OR and is specialized in Psychiatric/Mental Health. Julie Anne Leister practices in Roseburg, OR and has the professional credentials of PMHNP. The NPI Number for Julie Anne Leister is 1902569320 and holds a License No. 202112008NP-PP (Oregon).

The current practice location address for Julie Anne Leister is 3031 Ne Stephens St, Roseburg, OR and can be reached out via phone at 541-229-7038 and via fax at 541-464-4474.

Location: 3031 Ne Stephens St, Roseburg, OR, 97470-6237
person
Provider Profile Details
NPI Number
1902569320
Provider Name
Julie Anne Leister
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
3031 Ne Stephens St, Roseburg, OR, 97470-6237
Phone Number
541-229-7038
Fax Number
541-464-4474
Provider Enumeration Date
10/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202112008NP-PP 01 OR OREGON NURSING BOARD LICENSE
institution
Provider Business Practice Location Address Details
Address
3031 Ne Stephens St
City
State
Zip
97470-6237
Phone Number
541-229-7038
Fax Number
541-464-4474
person
Provider Business Mailing Address Details
Address
3031 Ne Stephens St
City
State
Zip
97470-6237
Phone Number
541-229-7038
Fax Number
541-464-4474
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
202112008NP-PP (Oregon)
Definition
Definition to come...
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