| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOLENE C CHARLES | 1467180703 | 2022-08-14 |
Jolene C Charles is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1467180703. Registration indicates Jolene C Charles is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Jolene C Charles NP |
| Practice Office Address | 115 WEST SILVER STREET WESTFIELD, MA US |
| Practice Office Telephone | 4135710147 |
| Practice Office Fax | 4135725089 |
| Mailing Address | 280 CHESTNUT STREET SPRINGFIELD, MA 011991001 US |
| Business Telephone | 4137945700 |
| Business Fax | 4137941629 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | RN2261620
MA |