Pettit, Jade Alyxandra
Pettit, Jade Alyxandra is an individual health care provider with primary practice located at 55930 Blue Eagle Rd , Bend OR 97707-2369. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Pettit, Jade Alyxandra can be contacted via phone (541) 640-2518.Contact Information
Primary practice address
55930 Blue Eagle Rd
Bend OR 97707-2369
Phone: (541) 640-2518
Fax: (541) 550-2919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | 201141655RN | Oregon |
Profile Details
| NPI number | 1770346504 |
|---|---|
| LBN Legal business name | Pettit, Jade Alyxandra |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2024 |
| Last updated | Feb 5th, 2024 - about last year |
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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