Juliana Ayres
Nurse Practitioner - Psychiatric/Mental Health
809 E Jackson St
Medford
, Oregon 97504
Juliana Ayres
Nurse Practitioner - Psychiatric/Mental Health
809 E Jackson St
Medford
, Oregon 97504
(541) 245-3549
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Juliana Ayres
- 809 E Jackson St
- Medford, OR
- Zip : 97504-6713
- Phone : (541) 245-3549
Second Address
- Juliana Ayres
- 809 E Jackson St
- Medford, OR
- Zip : 97504
- Fax : (541) 245-3549
- Phone : (541) 245-3614
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 201802512NP-PP | OR |
National Provider Identifier
| NPI | 1003362617 |
|---|---|
| Provider Name | Juliana Ayres |
| First Address | Medford, OR 97504-6713 |
| Second Address | Medford, OR 97504 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2016 |
| Last Update Date | 10/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201802512NP-PP | PMHNP LISCENSE NUMBER (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.