Woodley, Jolene Marie
Woodley, Jolene Marie is an individual health care provider with primary practice located at 9911 N Nevada St Ste 200 , Spokane WA 99218-1298. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Woodley, Jolene Marie can be contacted via phone (509) 626-9420.Contact Information
Primary practice address
9911 N Nevada St Ste 200
Spokane WA 99218-1298
Phone: (509) 626-9420
Fax: (509) 227-7070
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 18293 | California |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60862625 | Washington |
Profile Details
NPI number | 1710952122 |
---|---|
LBN Legal business name | Woodley, Jolene Marie |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 20th, 2006 |
Last updated | Jan 3rd, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710952122 | NPPES |
California | Other | P01114965 | RAILROAD MEDICARE |
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