Organization
JENNIFER ANN FROST CREEKSIDE HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN FROST DNP-FNP-BC (OWNER/PROVIDER)
(541) 670-1123
Entity
Organization
Contact information
Practice address
1959 NE DIAMOND LAKE BLVD STE 109, ROSEBURG, OR 97470-3573
(541) 492-1780
(833) 764-4838
Mailing address
1959 NE DIAMOND LAKE BLVD STE 109, ROSEBURG, OR 97470-3501
(541) 492-1780
(833) 764-4838
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
04/13/2026
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