NPI 1124078407 · live from the CMS NPI Registry
Jennifer Emma Allred
Nurse Practitioner, Adult Health in Coos Bay, OR. National Provider Identifier 1124078407, active.
NPI record
| NPI | 1124078407 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Adult Health 363LA2200X |
| Practice location | 1900 Woodland Dr, Coos Bay, OR 97420 |
| Practice phone | 541-267-5151 |
| Enumerated | May 10, 2006 |
| Last updated | January 20, 2016 |
| Sole proprietor | No |
| Other names | Jennifer Roman |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | 908 (AK) |
| Nurse Practitioner, Adult Health primary | 363LA2200X | 086006061N3 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.