Individual
MRS. JENNIFER ROSE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
347 FAIRVIEW STREET, SILVERTON, OR 97381
(971) 983-5360
(971) 983-5370
Mailing address
PO BOX 278, WOODBURN, OR 97071
(971) 983-5260
(971) 983-5326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201404734NP
OR
363LF0000X
Family Nurse Practitioner
201404734NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500677059
—
OR
Enumeration date
04/03/2012
Last updated
10/25/2016
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