Healthcare Provider Details

I. General information

NPI: 1023488608
Provider Name (Legal Business Name): JOELENE F. KLINE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOELENE F. SIDER

II. Dates (important events)

Enumeration Date: 09/25/2015
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 WILSON ST STE 109
CARLISLE PA
17013-3697
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-249-1929
  • Fax: 717-249-9332
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-851-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP015250
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015250
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: