| Nicole Marie Janke, FNP-C | |
|
790 E 5th St, Coquille, OR 97423-1755 | |
| (541) 396-3111 | |
| Not Available |
| Full Name | Nicole Marie Janke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 790 E 5th St, Coquille, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548949613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10011554 (Oregon) | Primary |
| Entity Name | Coquille Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730223967 PECOS PAC ID: 6901714591 Enrollment ID: O20040420000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Janke, FNP-C 1105 N 7th St, Coos Bay, OR 97420-2466 Ph: (541) 297-8955 | Nicole Marie Janke, FNP-C 790 E 5th St, Coquille, OR 97423-1755 Ph: (541) 396-3111 |
Mrs. Gabriela Anna Leon, ARNP-FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 790 E 5th St, Coquille, OR 97423 Phone: 541-396-3111 Fax: 541-396-5891 | |
Candie Marie Keller, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 N Central Blvd, Coquille, OR 97423 Phone: 541-396-7295 Fax: 541-266-4565 |