Individual
JILLIAN ELAINE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1003 N PROVIDENCE DR STE 210, NEWBERG, OR 97132-7523
(503) 537-5620
Mailing address
1003 N PROVIDENCE DR STE 210, NEWBERG, OR 97132-7523
(503) 537-5620
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10047716
OR
363LF0000X
Family Nurse Practitioner
Primary
10047716
OR
Other
Enumeration date
07/24/2025
Last updated
09/21/2025
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