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NPI Code Detail

MEDICARE: JOLEEN MARIE SHULTS FNP

MEDICARE:   JOLEEN MARIE SHULTS  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramAK

General Provider Information

NPI Number : 1558230243
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOLEEN MARIE SHULTS FNP
Provider Business Mailing Address
First Line : 44455 STERLING HWY
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-7936
Country : US
Telephone Number : 907-262-2229
Fax Number :
Provider Business Practice Location Address
First Line : 44455 STERLING HWY
Second Line :
City : SOLDOTNA
State : AK
Zip : 99669-7936
Country : US
Telephone Number : 907-262-2229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2025
Last Update Date : 11/01/2025

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Directions to “ JOLEEN MARIE SHULTS FNP” Practice Location

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