Provider Demographics
NPI:1316367279
Name:CAROLAND, JALANE (PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:JALANE
Middle Name:
Last Name:CAROLAND
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14958 91ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-8665
Mailing Address - Country:US
Mailing Address - Phone:360-955-1714
Mailing Address - Fax:
Practice Address - Street 1:14958 91ST AVE SE
Practice Address - Street 2:
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597-8665
Practice Address - Country:US
Practice Address - Phone:360-955-1714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61284288363LP0808X
TX812986163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management