Individual
JENNIFER M. BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
585 5TH ST, BROOKINGS, OR 97415-9702
(541) 469-5377
(541) 469-8015
Mailing address
PO BOX 6819, BROOKINGS, OR 97415-0297
(541) 469-5377
(541) 469-8015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200350054NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298898
—
OR
Enumeration date
06/22/2006
Last updated
10/21/2010
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