Fummerton, Jacqueline Jill

Fummerton, Jacqueline Jill is an individual health care provider with primary practice located at 621 W Madrone St , Roseburg OR 97470-3090. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Fummerton, Jacqueline Jill can be contacted via phone (541) 440-3639.

Contact Information

Primary practice address
621 W Madrone St Roseburg OR 97470-3090
Phone: (541) 440-3639
Fax: (541) 957-3704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 086003299RN Oregon

Profile Details

NPI number 1063782357
LBN Legal business name Fummerton, Jacqueline Jill
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2012
Last updated Jan 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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