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Individual

MRS. JOLENE PHELPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2010 16TH ST STE A, GREELEY, CO 80631-5188
(970) 810-2026
(970) 810-2028
Mailing address
2010 16TH ST STE A, GREELEY, CO 80631-5188
(970) 571-1307
(970) 810-2028

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0102260
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2050216
WA
Enumeration date
07/22/2021
Last updated
08/15/2024
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