Mrs. JADE ALYXANDRA PETTIT RN
Individual Provider (NPI-1)
Active
Registered Nurse, Home Health
Provider Information
- NPI Number
1770346504- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN
- Status
- Active
Contact & Location
- Address
- 55930 BLUE EAGLE RD, BEND, OR, 977072369
- Phone
- (541) 640-2518
- Fax
- (541) 550-2919
Specialties & Taxonomies
Registered Nurse, Home Health
Primary License: OR #201141655RN