AUTUMN D MERCER AGNP-C LLC is an adult health nurse practitioner in Jacksonville, OR. AUTUMN D MERCER AGNP-C LLC NPI is 1790241065. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
620 N 5TH ST
JACKSONVILLE, OR
ZIP 97530-659
Phone: (503) 309-8026
Fax: (541) 291-9819
The provider's authorized official is Autumn Dawn Mercer .
The authorized official title is Provider and has the following contact phone number (503) 309-8026.
The CLIA number assigned to this NPI record is 38D2299707 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/12/2019 and was last updated on 10/24/2023.