Provider Demographics
NPI:1639442072
Name:AUBERT, JOLENE ELIZABETH (ARNP)
Entity Type:Individual
Prefix:
First Name:JOLENE
Middle Name:ELIZABETH
Last Name:AUBERT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 W 5TH AVE
Mailing Address - Street 2:SUITE 400W
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-4880
Mailing Address - Country:US
Mailing Address - Phone:509-444-0752
Mailing Address - Fax:509-343-0134
Practice Address - Street 1:105 W 8TH AVE STE 512C
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2318
Practice Address - Country:US
Practice Address - Phone:509-465-3919
Practice Address - Fax:509-343-0134
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60267899363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily