Individual
MS. JOLENE PETERSEN WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 229-5099
(320) 229-5022
Mailing address
425 ELM ST N, CENTRACARE HEALTH SYSTEM - SAUK CENTRE, SAUK CENTRE, MN 56378-1010
(320) 352-6591
(320) 352-5164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001268
IA
363A00000X
Physician Assistant
Primary
11074
MN
Other
Enumeration date
05/22/2006
Last updated
12/02/2020
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