Individual
JESSICA DAWN WINEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
528 E MAIN ST STE E, JOHN DAY, OR 97845-1289
(541) 575-0429
Mailing address
528 E MAIN ST STE E, JOHN DAY, OR 97845-1289
(541) 575-0429
(541) 575-3604
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202114747NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500801993
—
OR
01
—
F12210473
CERTIFICATION NUMBER
—
Enumeration date
12/16/2021
Last updated
01/17/2025
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