MS. JENNIFER CARLEY PMHNP-BC NPI 1114918471

NPI Information

NPI: 1114918471
Provider Name: MS. JENNIFER CARLEY, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
4035 12TH ST CUTOFF SE STE 120
SALEM, OR
ZIP 97302
Phone: (503) 371-3121
Get Directions

MS. Jennifer Carley, PMHNP-BC is a psychiatric/mental health nurse practitioner in Salem, OR. MS. Jennifer Carley, PMHNP-BC NPI is 1114918471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4035 12TH ST CUTOFF SE STE 120
SALEM, OR
ZIP 97302-754
Phone: (503) 371-3121
Fax: (503) 315-7571

The NPI 1114918471 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/3/2005 and was last updated on 5/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	200250038NP PMHNP PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	731653143	OTHER	OREGON	BUSINESS TAX ID
2	807992000	OTHER	OREGON	BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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