Individual
NICOLE R JELINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MCFARLAND AVE, CHEYENNE, WY 82007-2317
(307) 256-0675
Mailing address
120 MCFARLAND AVE, CHEYENNE, WY 82007-2317
(307) 256-0675
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/23/2020
Last updated
08/23/2020
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