Jessica A Witt FNP

NPI 1003258344 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1003258344
Gender Female
Enumeration Date 07/29/2013
Last Updated 10/26/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND OR, 97212-1112, US
Phone (503) 775-4931
Fax (503) 788-7285
Business Location
3727 NE MARTIN LUTHER KING JR BLVD
PORTLAND OR, 97212-1112, US
Phone (503) 775-4931
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Oregon
License Number 201393181NP-PP
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According to our database, Ms. Jessica A Witt FNP NPI is 1003258344, taxonomy code is 363LF0000X and license number is 201393181NP-PP, license state is located at Oregon. Jessica A Witt FNP physically located at 3727 Ne Martin Luther King Jr Blvd, Portland OR, 97212-1112. NPI Number Jessica A Witt FNP has the Individual type.

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1003258344 NPI number is provided on an as is basis without warranty of any kind. 1003258344 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica A Witt FNP are for informational purposes only.