Individual
CHELSEA ANN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1250 MIRA MAR AVE, MEDFORD, OR 97504-5520
(541) 857-7133
Mailing address
1250 MIRA MAR AVE, MEDFORD, OR 97504-5520
(541) 857-7133
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201809791NP-PP
OR
Other
Enumeration date
10/29/2018
Last updated
06/13/2019
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