Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Marie Province

Individual provider Family Nurse Practitioner · NPI 1003437617

Jennifer Marie Province is a Nurse Practitioner in LA Grande, Oregon. Qualified in 2020, 6 years ago. Practices with Bon Secours Medical Group Greenville Specialty Care LLC, a 289-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
6
Licensed in
OR
In the registry since
2020
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Practice location Address checks out

1 University Blvd
LA Grande, OR 97850-2807
Phone: (541) 962-3803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 202007639NP-PP (OR)

Record details

NPI number1003437617
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2020
Last updated in NPPESSeptember 2, 2020
Certification dateSeptember 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bon Secours Medical Group Greenville Specialty Care Llc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in LA Grande