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Individual

MR. JEFFREY PAUL LEPPERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN APN-C

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
163WE0003X
Emergency Registered Nurse
26NR11867300
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
201050041NP
OR
363LA2200X
Adult Health Nurse Practitioner
26NJ00142100
NJ
363LA2200X
Adult Health Nurse Practitioner
AP60120714
WA
363LA2200X
Adult Health Nurse Practitioner
ARNP9261574
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500642563
OR
Enumeration date
03/06/2007
Last updated
10/21/2013
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