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Individual

JESSICA NAWOICHIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN/NP

Contact information

Practice address
1307 W MAIN ST, MEDFORD, OR 97501-2936
(541) 618-1314
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60633487
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
201706437NP-PP
OR

Other

Enumeration date
07/23/2010
Last updated
01/23/2020
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