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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEB BOLERJACK, RN

Active

JEB BOLERJACK, RN is a Registered Nurse healthcare provider located in LONGVIEW, Washington. NPI 1467940486 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · LONGVIEW, WA

Registration Details

NPI Number
1467940486
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2018 (8.2857563916154 yrs)
Last Updated
Jun 27, 2019
Licenses
CP00005027 (WA)
RN60344179 (WA)

Practice Information

Address
784 14TH AVE
LONGVIEW, WA, 986322315
Browse WA providers · Browse ZIP 98632
Phone
3607036400
Fax
3603533611
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in LONGVIEW, WA

Name Credential NPI
SHERI LEE PHILLIPS RN 1902872427
JESSICA K SMITH 1699732354
MAUREEN JAMIESON CRNA 1316976681
MR. EVERETT LAWRENCE WHITESIDE RN 1255615688
LYNN A DURKIN RN 1811241078
JAMIE CHRISOPULOS RN 1457690190
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.