Most Relevant Information
Provider Data
| NPI Number: | 1003350505 |
| Provider Name: | JENNIFER NICOLE HERR FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 201607115NP-PP |
Most Important Dates
| Enumeration Date: | 12/19/2016 |
| Last Updated: | 07/27/2024 |
Provider Practice Location
1501 NE MEDICAL CENTER DR
BEND
OR
97701
Practice Location Phone/Fax
| Phone: | 5413824900 |
| Fax: |
Provider Mailing Location
1501 NE MEDICAL CENTER DR
BEND
OR
977016051
Provider Mailing Phone/Fax
| Phone: | 5413824900 |
| Fax: |