MRS. JENNIFER EMMA ALLRED NPI 1124078407

NPI Information

NPI: 1124078407
Provider Name: MRS. JENNIFER EMMA ALLRED
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1900 WOODLAND DR
COOS BAY, OR
ZIP 97420
Phone: (541) 267-5151
Get Directions

MRS. Jennifer Emma Allred is an adult health nurse practitioner in Coos Bay, OR. MRS. Jennifer Emma Allred NPI is 1124078407. 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:

1900 WOODLAND DR
COOS BAY, OR
ZIP 97420-045
Phone: (541) 267-5151
Fax: (541) 266-4527

The NPI 1124078407 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 5/10/2006 and was last updated on 1/20/2016.

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	163WG0000X	Registered Nurse	General Practice	908	ALASKA	No
2	363LA2200X	Nurse Practitioner	Adult Health	086006061N3	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	P01567261	OTHER	OREGON	RAILROAD MEDICARE
2	161133	OTHER	OREGON	GROUP DMAP NORTH BEND MEDICAL CENTER
3	93-0635514	OTHER	OREGON	GROUP TAX ID NORTH BEND MEDICAL CENTER
4	500677191	MEDICAID	OREGON
5	1407812365	OTHER	OREGON	GROUP NPI NORTH BEND MEDICAL CENTER
6	R183307	MEDICARE PIN	OREGON
7	R0000WFBTV	OTHER	OREGON	GROUP MEDICARE NORTH BEND MEDICAL CENTER

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: 5/5/2024

NPI Synchronization or Removal

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