JENNIFER UPCRAFT NPI 1629499504

NPI Information

NPI: 1629499504
Provider Name: JENNIFER UPCRAFT
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: OPTIONS FOR SOUTHERN OREGON

PECOS Registration: Yes

Address:
1545 HARBECK RD
GRANTS PASS, OR
ZIP 97527
Phone: (541) 479-2371
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Jennifer Upcraft is a psychiatric/mental health nurse practitioner in Grants Pass, OR with 10 years of experience. Jennifer Upcraft NPI is 1629499504. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

1545 HARBECK RD
GRANTS PASS, OR
ZIP 97527-605
Phone: (541) 479-2371

The NPI 1629499504 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/19/2013 and was last updated on 8/10/2020.

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	202005777NP-PP	OREGON	Yes
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	ARNP9396651	FLORIDA	No

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: 11/14/2023

NPI Synchronization or Removal

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