Jennifer Roundy, is a
Licensed Practical Nurse based in Ontario, Oregon. Jennifer Roundy is licensed to practice in Idaho (license number 15110) and her current practice location is
702 Sunset Dr, Ontario, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 889-9167.
NPI number for Jennifer Roundy is 1255889838 and her current mailing address is 702 Sunset Dr, Ontario, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255889838.
Provider's Profile
| Full Name | Jennifer Roundy |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 702 Sunset Dr, Ontario, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255889838
- Provider Enumeration Date: 09/13/2016
- Last Update Date: 09/13/2016
Medical Identifiers
Medical identifiers for Jennifer Roundy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255889838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 15110 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Roundy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jennifer Roundy, 702 Sunset Dr, Ontario, OR 97914-3121 Ph: (541) 889-9167 | Jennifer Roundy, 702 Sunset Dr, Ontario, OR 97914-3121 Ph: (541) 889-9167 |
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