Individual
JENNIFER BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
561 N GUN CLUB RD, INDEPENDENCE, OR 97351-9631
(503) 851-1662
Mailing address
PO BOX 12, INDEPENDENCE, OR 97351-0012
(503) 851-1662
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200841190
OR
163WC1500X
Community Health Registered Nurse
Primary
200841190RN
OR
Other
Enumeration date
04/09/2015
Last updated
01/12/2016
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