Individual
JODEANNA MARIE SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
870 S FRONT ST, SUITE 200, CENTRAL POINT, OR 97502-2779
(541) 664-3346
(541) 664-6051
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 664-3346
(541) 664-6051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200850081NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246123
—
OR
Enumeration date
04/15/2008
Last updated
08/27/2012
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