Individual
JENNIFER KOELEWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 CAMPUS DR, HANFORD, CA 93230-4375
(559) 582-3211
(559) 584-5672
Mailing address
330 CAMPUS DR, HANFORD, CA 93230-4375
(559) 582-3211
(559) 584-5672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN209826
CA
163WC0400X
Case Management Registered Nurse
Primary
RN209826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QP0905X
—
CA
Enumeration date
12/03/2007
Last updated
12/03/2007
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