Individual
DAVINA LYNN BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
(541) 266-4562
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
(541) 266-4562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201800261NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500740413
—
OR
Enumeration date
10/05/2017
Last updated
10/02/2025
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