Individual
MRS. AMANDA LAEL JURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-FNP
Contact information
Practice address
1077 GATEWAY LOOP, SPRINGFIELD, OR 97477-1114
(541) 485-6478
Mailing address
1077 GATEWAY LOOP, SPRINGFIELD, OR 97477-1114
(541) 485-6478
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10042142
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/17/2025
Last updated
05/21/2025
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