Basic Information
Provider Information
NPI: 1750725339
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHECK-OSTROWSKI
FirstName: JOLYNE
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: APNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1119 MINNESOTA AVE
Address2:  
City: STEVENS POINT
State: WI
PostalCode: 544813253
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 5409 VERN HOLMES DR
Address2:  
City: STEVENS POINT
State: WI
PostalCode: 544828853
CountryCode: US
TelephoneNumber: 7153441600
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/25/2013
LastUpdateDate: 04/25/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0200X4859-33WIY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics

No ID Information.


Home