Individual
JENNY JOHNSTON COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1800 COOKS HILL RD STE F, CENTRALIA, WA 98531-9162
(360) 669-0335
(360) 736-2967
Mailing address
6928 47TH AVE NE, OLYMPIA, WA 98516-2103
(206) 617-8524
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60595033
WA
363LF0000X
Family Nurse Practitioner
AP60595033
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2048624
—
WA
Enumeration date
10/01/2015
Last updated
03/03/2022
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