Provider Demographics
NPI:1033960372
Name:FERRILL, JENNETTE (RN)
Entity Type:Individual
Prefix:
First Name:JENNETTE
Middle Name:
Last Name:FERRILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3083 NE 49TH PL
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-6006
Mailing Address - Country:US
Mailing Address - Phone:038-441-4555
Mailing Address - Fax:
Practice Address - Street 1:3083 NE 49TH PL
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-6006
Practice Address - Country:US
Practice Address - Phone:503-844-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201401036RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse