Mercer, Autumn Dawn

Mercer, Autumn Dawn is an individual health care provider with primary practice located at 825 Bennett Ave , Medford OR 97504-6715. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mercer, Autumn Dawn can be contacted via phone (541) 779-5228.

Contact Information

Primary practice address
825 Bennett Ave Medford OR 97504-6715
Phone: (541) 779-5228
Fax: (541) 772-1533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 201707776NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 202002027NP-PP Oregon

Profile Details

NPI number 1669981148
LBN Legal business name Mercer, Autumn Dawn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2017
Last updated Jul 21st, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669981148 NPPES
Oregon MEDICAID 500733407

Popular Providers