Jett, Gail Marie

Jett, Gail Marie is an individual health care provider with primary practice located at 2450 Ne Mary Rose Pl Suite 220, Bend OR 97701-7132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Jett, Gail Marie can be contacted via phone (541) 385-8050.

Contact Information

Primary practice address
2450 Ne Mary Rose Pl Suite 220 Bend OR 97701-7132
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 098007266N1 Oregon

Profile Details

NPI number 1861423022
LBN Legal business name Jett, Gail Marie
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Apr 15th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861423022 NPPES
Oregon MEDICAID 028171

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