Individual
JENNIFER RAE MULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1375 N 10TH AVE, STAYTON, OR 97383-2099
(503) 769-2641
Mailing address
361 NE KIRBY AVE, ROSEBURG, OR 97470-5456
(541) 430-7551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201800202NP-PP
OR
Other
Enumeration date
09/15/2015
Last updated
04/12/2018
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