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NPI Code Detail

MEDICARE: JAMI LYNN RYAN FNP

MEDICARE:   JAMI LYNN RYAN  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse28164946AIN
2363LF0000XFamily Nurse Practitioner201703152NP-PPOR
3363LF0000XFamily Nurse Practitioner71009593BIN
4363LF0000XFamily Nurse Practitioner71009593AIN

General Provider Information

NPI Number : 1912428798
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMI LYNN RYAN FNP
Provider Business Mailing Address
First Line : 8235 SW AVERY ST
Second Line :
City : TUALATIN
State : OR
Zip : 97062-6351
Country : US
Telephone Number : 765-606-6783
Fax Number :
Provider Business Practice Location Address
First Line : 1315 N ARLINGTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-3204
Country : US
Telephone Number : 317-762-0190
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2017
Last Update Date : 07/21/2022

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Directions to “ JAMI LYNN RYAN FNP” Practice Location

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