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Individual

JESSIE HIBNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2859 STATE ST STE 101, MEDFORD, OR 97504-8495
(541) 282-6505
Mailing address
2859 STATE ST STE 101, MEDFORD, OR 97504-8495
(541) 789-3040

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
200541452RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201909322NP-PP
OR

Other

Enumeration date
07/14/2017
Last updated
12/14/2019
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