Provider Demographics
NPI:1679025969
Name:POINDEXTER, JENNIFER (ND)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:POINDEXTER
Suffix:
Gender:
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1227
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97381-0057
Mailing Address - Country:US
Mailing Address - Phone:503-874-1820
Mailing Address - Fax:971-332-1295
Practice Address - Street 1:209 W C ST
Practice Address - Street 2:
Practice Address - City:SILVERTON
Practice Address - State:OR
Practice Address - Zip Code:97381-1951
Practice Address - Country:US
Practice Address - Phone:503-874-1820
Practice Address - Fax:971-332-1295
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-02
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4028175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath