Provider Demographics
NPI:1699503383
Name:BUFFINGTON, JOLEEN (WHNP-BC)
Entity type:Individual
Prefix:
First Name:JOLEEN
Middle Name:
Last Name:BUFFINGTON
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 GLENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MCKINLEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95519-9254
Mailing Address - Country:US
Mailing Address - Phone:707-513-7892
Mailing Address - Fax:
Practice Address - Street 1:45 HAZEL ST
Practice Address - Street 2:
Practice Address - City:WILLITS
Practice Address - State:CA
Practice Address - Zip Code:95490-4222
Practice Address - Country:US
Practice Address - Phone:707-456-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95029273363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology