| Jennifer Marie Province, | |
|
1 University Blvd, La Grande, OR 97850-2807 | |
| (541) 962-3803 | |
| Not Available |
| Full Name | Jennifer Marie Province |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1 University Blvd, La Grande, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003437617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 202007639NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis-downtown | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours Medical Group Greenville Specialty Care Llc | 1850779976 | 242 |
| Entity Name | St Francis Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871895771 PECOS PAC ID: 6608826821 Enrollment ID: O20050126000259 |
| Entity Name | Bon Secours Medical Group Greenville Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821679580 PECOS PAC ID: 1850779976 Enrollment ID: O20220602000070 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Marie Province, 2011 4th St, La Grande, OR 97850-2511 Ph: (541) 962-7808 | Jennifer Marie Province, 1 University Blvd, La Grande, OR 97850-2807 Ph: (541) 962-3803 |
Dr. Pamela M Mcwhirter, DNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3030 Fax: 541-975-5201 | |
Linda Maureen Chernoff, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1807 Cove Ave, La Grande, OR 97850 Phone: 541-663-9008 | |
Dr. Gary Robert Laustsen, FNP, PHD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 University Blvd, La Grande, OR 97850 Phone: 541-962-3132 | |
Heather Wiggins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 University Blvd, La Grande, OR 97850 Phone: 541-962-3825 | |
Scott Alden Widener, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1412 Fax: 541-963-1488 | |
Jacqui Kleeman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Depot St, La Grande, OR 97850 Phone: 541-963-3772 |