Individual provider · Type 1 NPI

Nicole Fennell

Physician Assistant · Coos Bay, OR

NPI number 1639626724 Active

Practice location

1775 Thompson Rd
Coos Bay, OR 97420-2125

Call (541) 269-8111 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA179333 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639626724

Nicole Fennell's National Provider Identifier is 1639626724, issued on Sep 6, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Coos Bay, OR. The record was last updated on Sep 6, 2016.