Healthcare Provider Details

I. General information

NPI: 1790756278
Provider Name (Legal Business Name): JOLENE CULVER ARNP, CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2006
Last Update Date: 04/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92302 E HOLLY RD
KENNEWICK WA
99338-8336
US

IV. Provider business mailing address

92302 E HOLLY RD
KENNEWICK WA
99338-8336
US

V. Phone/Fax

Practice location:
  • Phone: 509-378-4227
  • Fax:
Mailing address:
  • Phone: 509-378-4227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN00163114
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60310239
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: