Individual
MRS. JOELENE PEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
2301 COVE AVE, LA GRANDE, OR 97850-3906
(541) 962-8824
(541) 963-0520
Mailing address
2301 COVE AVE, LA GRANDE, OR 97850-3906
(541) 962-8800
(541) 963-5272
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
099000698RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201050168NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700808706
BLUE CROSS
OR
05
—
500644966
—
OR
01
—
R171365
MEDICARE
OR
Enumeration date
07/25/2006
Last updated
04/02/2025
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