Individual
NICOLE MARIE JANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
790 E 5TH ST, COQUILLE, OR 97423-1755
(541) 396-3111
Mailing address
1105 N 7TH ST, COOS BAY, OR 97420-2466
(541) 297-8955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10011554
OR
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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