Individual
JEANETTE NISLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., MSN
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
(503) 434-9846
Mailing address
6063 BETHEL HEIGHTS RD NW, SALEM, OR 97304-9752
(714) 728-9992
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
096000147RN
OR
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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