Individual
JAZMYN NICOLE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC, PMHNP-BC
Contact information
Practice address
1002 SE 54TH AVE, PORTLAND, OR 97215-2654
(034) 472-2585
(503) 376-5062
Mailing address
1002 SE 54TH AVE, PORTLAND, OR 97215-2654
(503) 447-2258
(503) 376-5062
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202102920NP-PP
OR
363LW0102X
Women's Health Nurse Practitioner
202102920NP-PP
OR
363LW0102X
Women's Health Nurse Practitioner
8424
CT
Other
Enumeration date
09/20/2019
Last updated
10/16/2023
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