Individual
JOLENE M. CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2520 CHERRY AVE, BREMERTON, WA 98310-4229
(360) 792-6617
(360) 792-6619
Mailing address
18490 13TH AVE NE, POULSBO, WA 98370-8796
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30003059
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0209516
LABOR AND INDUSTRIES
WA
01
—
7756806
AETNA
WA
05
—
9609819
—
WA
Enumeration date
09/20/2006
Last updated
07/08/2007
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