Individual
JESSIE KRISTEN HERMANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
537 UNION AVE, GRANTS PASS, OR 97527-5543
(541) 507-2170
Mailing address
2620 E BARNETT RD STE H, MEDFORD, OR 97504-8383
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201808024
OR
Other
Enumeration date
07/30/2018
Last updated
12/13/2018
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