Individual provider · Type 1 NPI

Jeb Bolerjack, RN

Registered Nurse · Longview, WA

NPI number 1467940486 Active

Practice location

784 14th Ave
Longview, WA 98632-2315

Fax (360) 353-3611

Mailing address

1057 12th Ave
Longview, WA 98632-2509

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCP00005027 (WA)
Registered Nurse Primary 163W00000XRN60344179 (WA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1467940486

Jeb Bolerjack, RN's National Provider Identifier is 1467940486, issued on Apr 25, 2018. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Longview, WA. The record was last updated on Jun 27, 2019.