Doctor Name: | MS. JERI BRIAR WOHLBERG |
NPI Number: | 1316996127 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 101-0025930 |
Business Practice Address: | 4 Slapp Hill Hardwick, VT - 058430535 |
Business Phone Number: | 8024723300 |
Business Fax Number: | 8024728277 |
Mailing Address: | 165 Sherman Dr, ST JOHNSBURY |
State: | VT |
Postal Code: | 058199811 |
Phone Number: | 8027489405 |
Fax Number: | 8027484540 |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 01/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 101-0025930 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |