| Chanel Jost, PMHNP-BC | |
|
3491 Wildes Rd, Clinton, WA 98236-9309 | |
| (703) 300-1880 | |
| Not Available |
| Full Name | Chanel Jost |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3491 Wildes Rd, Clinton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841614344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61380774 (Washington) | Primary |
| Entity Name | Mindful Therapy Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
| Mailing Address | Practice Location Address |
|---|---|
| Chanel Jost, PMHNP-BC 3491 Wildes Rd, Clinton, WA 98236-9309 Ph: (703) 300-1880 | Chanel Jost, PMHNP-BC 3491 Wildes Rd, Clinton, WA 98236-9309 Ph: (703) 300-1880 |
Vicki R Werve, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11245 Sr 525, Clinton, WA 98236 Phone: 360-341-5252 Fax: 360-341-8727 | |
Tevon Andre Dubois, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3473 Wildes Rd, Clinton, WA 98236 Phone: 206-551-3587 | |
Sharon Kay Corriveau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8150 Lopez Dr, Clinton, WA 98236 Phone: 703-380-2189 |