Individual
JESSICA MARIE COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(805) 914-8541
Mailing address
1454 GLADIOLA DR, JUNCTION CITY, OR 97448-8368
(805) 914-8451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10007263
OR
363LF0000X
Family Nurse Practitioner
Primary
10007263
OR
Other
Enumeration date
07/13/2024
Last updated
10/28/2024
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