Boyle, Jennifer M.

Boyle, Jennifer M. is an individual health care provider with primary practice located at 585 5Th St , Brookings OR 97415-9702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boyle, Jennifer M. can be contacted via phone (541) 469-5377.

Contact Information

Primary practice address
585 5Th St Brookings OR 97415-9702
Phone: (541) 469-5377
Fax: (541) 469-8015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200350054NP Oregon

Profile Details

NPI number 1508802802
LBN Legal business name Boyle, Jennifer M.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Oct 21st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508802802 NPPES
Oregon MEDICAID 298898

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