Jolene Michelle Delong
Individual provider Active NPI Contractor · McCool Junction, NE
NPI 1992513634 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1992513634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 236 N 3Rd Ave
PO Box 326
McCool Junction, NE 68401-0326 - Phone
- (402) 710-2797
- NPI assigned
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
236 N 3Rd Ave
PO Box 326
McCool Junction, NE 68401-0326
Mailing address
PO Box 326
MC Cool Junction, NE 68401-0326
Phone (402) 710-2797
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2024. 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.