Individual
JACQUELYN J SINCLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, FNP-C
Contact information
Practice address
3640 NW SAMARITAN DR STE 100A, CORVALLIS, OR 97330-3784
(541) 768-5205
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
089000262RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201404954NP-PP
OR
Other
Enumeration date
01/09/2013
Last updated
11/11/2020
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