JOLENE TOM RN
NPI 1699934281
Registered Nurse - Community Health in Tuba City, AZ
Active since June 09, 2008
About Jolene Tom Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOLENE TOM RN (NPI 1699934281) is an individual community health provider in Tuba City, Arizona, licensed in Arizona (RN117235) and active in the NPI registry since June 2008.
NPPES Registry Identity
NPI1699934281
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameJOLENE TOMCredential: RN
Location Address167 MAIN STTuba City, AZ 86045-0600
Mailing AddressPo Box 600Tuba City, AZ 86045-0600 · (928) 283-2788
Phone(928) 283-2788
Sole ProprietorYes
Enumeration DateJune 9, 2008
✔ NPI 1699934281 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in AZ · RN117235
167 MAIN ST, Tuba City, AZ 86045
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699934281, enumerated as an "individual" on June 09, 2008.
The provider is located at 167 MAIN ST TUBA CITY, AZ 86045 and the phone number is (928) 283-2788.
Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.