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General NPI Number Information
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NPI Number | 1740679752
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Entity Type | Individual
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Provider Name | JOLINDA FERRELL APNP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 1291 CRAIG AVE
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City | LAKEPORT
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State | CA
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Zip | 95453-5704
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Country | US
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Telephone | 707-263-6382
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Fax | 707-263-7213
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Provider Business Mailing Address
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Address Line | 1523 EDGEWOOD LN
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City | EAU CLAIRE
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State | WI
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Zip | 54703-0810
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Country | US
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Telephone | 715-379-4623
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 23611
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5700-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP5014
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License Number State | AZ
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