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Active NPI 1467940486 Individual Practitioner Male Practitioner

Jeb Bolerjack , RN

Registered Nurse • Longview, WA

Professional Overview & Biography Verified Profile Summary

Jeb Bolerjack, RN is a registered healthcare professional specializing in Registered Nurse in Longview, WA. Practice services are available at 784 14TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

784 14th Ave

Longview, WA 986322315

Telephone 3607036400
Fax 3603533611
Associated Practice Facility / Clinic
🏢 Pediatric Clinic, Inc., P.s. Facility NPI 1639287188

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
68 Specialists

Practicing in Longview, WA (5817 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License WA RN60344179

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License WA CP00005027

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Jan Khouri , APRN

Nurse Practitioner - Family

NPI 1043238033

Advanced Practice Registered Nurse

Forrest Mcgriff , ARNP

Nurse Practitioner - Family

NPI 1538147764

Advanced Registered Nurse Practitioner

Dr. Anthony Reyes , MD

Family Medicine

NPI 1588877799

Doctor of Medicine (M.D.)

Megan Minthorn , RN

Registered Nurse

NPI 1619418159

Registered Nurse

Dr. Gerardo Melgar , MD

Internal Medicine

NPI 1619903820

Doctor of Medicine (M.D.)

Irene Mudehwe , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1750851846

NURSEPRACTITIONER

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 27, 2019

Registered at 784 14TH AVE, LONGVIEW, WA 986322315 (Tel: 3607036400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2019

Counselor (License #CP00005027 in WA)

NPI Profile Active April 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2018

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3606363892)

📍
Updated Business Mailing Address April 25, 2018

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3606363892)

👤
Provider Name / Credentials Updated April 25, 2018

Recorded as JEB BOLERJACK, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2018

Registered Nurse (License #RN60344179 in WA)

🟢
Initial NPI Registration & Enumeration April 25, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467940486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2018
Last Update: June 27, 2019
Sole Proprietor: No

Mailing Address

1057 12th Ave

Longview, WA 986322509

Phone: 3606363892

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.