IndividualActive
Jerry Foster, FNP
NPI 1053574772 · Family Nurse Practitioner · Warm Spring, OR
Provider details
- NPI number
- 1053574772
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- License
- R41699 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1270 Kotnum Road
Warm Spring, OR 97761-1209
Phone: (541) 553-1196
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1209
Warm Spring, OR 97761-1209
Registry dates
- Enumerated
- 2008-07-02
- Last updated
- 2015-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.