Individual
JOLENE CAWLFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
559 W WASHINGTON ST, BURNS, OR 97720-1441
(541) 573-2074
(541) 573-8893
Mailing address
559 W WASHINGTON ST, BURNS, OR 97720-1441
(541) 573-2074
(541) 573-8893
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
080045993N1FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276678
—
OR
01
—
838331001
BLUE CROSS BLUE SHIELD
OR
01
—
P00158584
RAILROAD MEDICARE
OR
Enumeration date
07/15/2006
Last updated
07/22/2008
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