Individual
MS. JILL DENISE LARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1257
(541) 472-4771
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1257
(541) 472-4771
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201050038NP
OR
Other
Enumeration date
04/06/2010
Last updated
09/04/2015
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