Individual provider · Type 1 NPI
Jennifer Mary Fasulo, RN
Registered Nurse · Portland, OR
Practice location
3734 SE 15th Ave, Apt 1
Portland, OR 97202-3857
Mailing address
510 E 15th Aly, Apt 3
Eugene, OR 97401-4580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 201243142RN (OR) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1730480831
Jennifer Mary Fasulo, RN's National Provider Identifier is 1730480831, issued on Nov 5, 2010. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portland, OR. The record was last updated on Nov 2, 2012.