Jenny Johnston Coleman, ARNP | |
1800 Cooks Hill Rd Ste F, Centralia, WA 98531-9162 | |
(360) 669-0335 | |
(360) 736-2967 |
Full Name | Jenny Johnston Coleman |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1800 Cooks Hill Rd Ste F, Centralia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407226681 | NPI | - | NPPES |
2048624 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP60595033 (Washington) | Secondary |
363L00000X | Nurse Practitioner | AP60595033 (Washington) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Entity Name | Optum Care Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Entity Name | Public Hospital District No 1 Of Mason County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760568752 PECOS PAC ID: 0345139275 Enrollment ID: O20040310001481 |
Entity Name | Lewis County Community Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899 |
Mailing Address | Practice Location Address |
---|---|
Jenny Johnston Coleman, ARNP 6928 47th Ave Ne, Olympia, WA 98516-2103 Ph: (206) 617-8524 | Jenny Johnston Coleman, ARNP 1800 Cooks Hill Rd Ste F, Centralia, WA 98531-9162 Ph: (360) 669-0335 |
Lisa Archer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3687 Cooks Hill Rd, Centralia, WA 98531 Phone: 210-284-2787 | |
Beverly Ann Huddleston, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 S Scheuber Rd, Pmg Sw Wa Centralia Women Center, Centralia, WA 98531 Phone: 360-330-8950 Fax: 360-330-8955 | |
Therese Henry, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1911 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-6778 Fax: 360-736-6552 | |
Mr. Marshall Jonathon Saipher, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 917 S Scheuber Rd, Centralia, WA 98531 Phone: 360-736-9384 | |
Jean Clement Nikubwayo, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3510 Steelhammer Dr, Centralia, WA 98531 Phone: 360-623-8020 Fax: 360-623-1072 | |
Duane Edward Patterson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2428 W Reynolds Ave, Centralia, WA 98531 Phone: 360-330-9044 Fax: 360-736-3139 | |
Ms. Bethany Anne Krieger, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1911 Cooks Hill Rd, Centralia, WA 98531 Phone: 360-736-6778 Fax: 360-736-6552 |