| Mrs Joelene Peasley, RN, MSN, FNP-C | |
|
2301 Cove Ave, La Grande, OR 97850-3906 | |
| (541) 962-8824 | |
| (541) 963-0520 |
| Full Name | Mrs Joelene Peasley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2301 Cove Ave, La Grande, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700808706 | NPI | - | NPPES |
| 1700808706 | Other | OR | BLUE CROSS |
| 500644966 | Medicaid | OR | |
| R171365 | Other | OR | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC1500X | Registered Nurse - Community Health | 099000698RN (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201050168NP (Oregon) | Primary |
| Entity Name | Center For Human Development Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114051315 PECOS PAC ID: 3678578663 Enrollment ID: O20130410000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Joelene Peasley, RN, MSN, FNP-C 2301 Cove Ave, La Grande, OR 97850-3906 Ph: (541) 962-8800 | Mrs Joelene Peasley, RN, MSN, FNP-C 2301 Cove Ave, La Grande, OR 97850-3906 Ph: (541) 962-8824 |
Jennifer Marie Province, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 University Blvd, La Grande, OR 97850 Phone: 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 |