NPI 1114561925

Keriann Ensworth

Practitioner Licensed Practical Nurse Medford, OR

Practice location

Address: 777 Murphy Rd, Medford, OR 97504-8425
Phone: (541) 772-2763
Fax: (541) 734-3164

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 201900725LPN (OR)

Other Licensed Practical Nurse providers in Oregon →

Registry record

NPI: 1114561925
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2019
Record last updated: 5 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.