Jennifer Marie Province

NPI #1003437617 in La Grande, Oregon

Provider Information

NPI Number
1003437617
Entity Type
Individual
Name
Jennifer Marie Province
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
May 5, 2020
Last Updated
Sep 2, 2020

Practice Location

Address
1 UNIVERSITY BLVD
State
Oregon
ZIP Code
97850-2807
Phone
(541) 962-3803

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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