Wilson, Jennifer Ann Brough

Wilson, Jennifer Ann Brough is an individual health care provider with primary practice located at 2440 Nw Edenbower Blvd , Roseburg OR 97471-8847. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wilson, Jennifer Ann Brough can be contacted via phone (541) 957-1141.

Contact Information

Primary practice address
2440 Nw Edenbower Blvd Roseburg OR 97471-8847
Phone: (541) 957-1141
Fax: (541) 957-1466
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 52022 California

Profile Details

NPI number 1053714089
LBN Legal business name Wilson, Jennifer Ann Brough
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2014
Last updated Mar 7th, 2023 - about last year

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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