Individual
JULIA E JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1001 SW DISK DR STE 250, BEND, OR 97702-3754
(541) 293-1325
(541) 229-1314
Mailing address
20857 SE HUMBER LN, BEND, OR 97702-3763
(360) 529-1667
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10021781
OR
Other
Enumeration date
09/19/2023
Last updated
02/10/2024
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