Individual
CARLYNN MCINERNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 672-2691
(833) 299-8415
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201800375RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201801108NP
OR
Other
Enumeration date
09/23/2014
Last updated
03/05/2025
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