Individual
MS. JAN CARLIN KHOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
784 14TH AVE, LONGVIEW, WA 98632-2315
(360) 703-6400
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 353-3256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00096700
NJ
Other
Enumeration date
07/17/2006
Last updated
07/21/2022
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