Hope, Jennifer Dawn

Hope, Jennifer Dawn is an sole proprietor health care provider with primary practice located at 632 Anderson Ave , Coos Bay OR 97420-1632. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hope, Jennifer Dawn can be contacted via phone (541) 236-2086.

Contact Information

Primary practice address
632 Anderson Ave Coos Bay OR 97420-1632
Phone: (541) 236-2086
Fax: (541) 214-2897
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 57340 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 202113001NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 202113001NP-PP Oregon

Profile Details

NPI number 1518133487
LBN Legal business name Hope, Jennifer Dawn
Credentials PMHNP-BC, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2008
Last updated Aug 31st, 2023 - about 3 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 1518133487 NPPES
Oregon MEDICAID 500794087

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