Individual
JENNI LYNNE NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2801 NW MERCY DR STE 330, ROSEBURG, OR 97471-2348
(541) 677-3600
Mailing address
201 NW MEDICAL LOOP STE 190, ROSEBURG, OR 97471-8835
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD198327
OR
Other
Enumeration date
07/15/2015
Last updated
07/22/2020
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