Jolene K Self
Individual provider Active NPI Case Manager/Care Coordinator · Farnham, VA
NPI 1831492008 · NPPES record last updated Dec 10, 2010
Key facts
- NPI
- 1831492008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 749 Bryants Town Rd
Farnham, VA 22460-3025 - Phone
- (804) 761-4579
- NPI assigned
- Dec 10, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
749 Bryants Town Rd
Farnham, VA 22460-3025
Mailing address
749 Bryants Town Rd
Farnham, VA 22460-3025
Phone (804) 761-4579
Other providers in Farnham, VA
- Dogwood Medical
- Trcy L Gray
- Laura Morris Griffin
- Ashley H McDaniel
- Northern Neck Medical Express, LLC
All providers in Farnham, VA · Case Manager/Care Coordinator in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.