Individual
MRS. JADE ALYXANDRA PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55930 BLUE EAGLE RD, BEND, OR 97707-2369
(541) 640-2518
(541) 550-2919
Mailing address
55930 BLUE EAGLE RD, BEND, OR 97707-2369
(541) 640-2518
(541) 550-2919
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
201141655RN
OR
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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