JEB BOLERJACK RN
NPI 1467940486
Registered Nurse in Longview, WA

Q: What is Jeb Bolerjack's NPI number?

The NPI number for Jeb Bolerjack is 1467940486. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Q: What is Jeb Bolerjack's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeb Bolerjack was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 25, 2018

784 14TH AVE, LONGVIEW, WA 98632(360) 703-6400(360) 353-3611 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeb Bolerjack Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEB BOLERJACK RN (NPI 1467940486) is an individual registered nurse in Longview, Washington, licensed in Washington (RN60344179) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1467940486

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameJEB BOLERJACKCredential: RN

Location Address784 14TH AVELongview, WA 98632-2315

Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 636-3892 · Fax (360) 414-1342

Phone(360) 703-6400

Fax(360) 353-3611

Sole ProprietorNo

Enumeration DateApril 25, 2018

Last NPPES UpdateJune 27, 2019

✔ NPI 1467940486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in WA · RN60344179

Definition

(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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP00005027 (WA)

784 14TH AVE, Longview, WA 98632

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JAN CARLIN KHOURI APRN

Nurse Practitioner (Family)