Individual provider · Type 1 NPI

Jennifer Marie Province

Family Nurse Practitioner · La Grande, OR

NPI number 1003437617 Active

Practice location

1 University Blvd
La Grande, OR 97850-2807

Mailing address

2011 4th St
La Grande, OR 97850-2511

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X202007639NP-PP (OR)

Family Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1003437617

Jennifer Marie Province's National Provider Identifier is 1003437617, issued on May 5, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in La Grande, OR. The record was last updated on Sep 2, 2020.