Healthcare Provider Details

I. General information

NPI: 1205656592
Provider Name (Legal Business Name): JENNIFER LYNN JOSLIN APRN- NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2024
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 SANTIAM HWY SE
ALBANY OR
97322-5256
US

IV. Provider business mailing address

38281 MOUNTAIN HOME DR
LEBANON OR
97355-9367
US

V. Phone/Fax

Practice location:
  • Phone: 541-219-3200
  • Fax:
Mailing address:
  • Phone: 541-971-7560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number201507068RN
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10041117
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: