Individual
AUTUMN DAWN MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
825 BENNETT AVE, MEDFORD, OR 97504-6715
(541) 779-5228
(541) 772-1533
Mailing address
825 BENNETT AVE, MEDFORD, OR 97504-6715
(541) 779-5228
(541) 772-1533
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202002027NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
201707776NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500733407
—
OR
Enumeration date
09/27/2017
Last updated
07/21/2022
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