Individual
PATRICIA DIANE JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-PP
Contact information
Practice address
250 NW GRINSTEAD ST, SILETZ, OR 97380-2035
(541) 444-2816
Mailing address
250 NW GRINSTEAD ST, SILETZ, OR 97380-2035
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
093000576RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
093000576N6
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500624005
—
OR
05
—
500698757
—
OR
Enumeration date
02/08/2006
Last updated
02/27/2025
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