Individual
MS. JENNIFER ANN KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1895 14TH AVE SE, ALBANY, OR 97322-8503
(541) 754-1150
Mailing address
1292 HIGH ST, STE 224, EUGENE, OR 97401-3238
(541) 500-2500
(541) 500-2700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201350001NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500655649
—
OR
Enumeration date
03/01/2013
Last updated
05/29/2019
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