Provider Demographics
NPI:1073324034
Name:JURA, AMANDA LAEL (DNP-FNP)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LAEL
Last Name:JURA
Suffix:
Gender:
Credentials:DNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35859 HIGHWAY 58
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:OR
Mailing Address - Zip Code:97455-9651
Mailing Address - Country:US
Mailing Address - Phone:541-767-5200
Mailing Address - Fax:
Practice Address - Street 1:35859 HIGHWAY 58
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:OR
Practice Address - Zip Code:97455-9651
Practice Address - Country:US
Practice Address - Phone:541-767-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OR10042142363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program