Provider Demographics
NPI:1023488608
Name:KLINE, JOELENE F (CRNP)
Entity type:Individual
Prefix:
First Name:JOELENE
Middle Name:F
Last Name:KLINE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JOELENE
Other - Middle Name:F
Other - Last Name:SIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-6120
Mailing Address - Fax:717-409-6223
Practice Address - Street 1:220 WILSON ST STE 109
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3697
Practice Address - Country:US
Practice Address - Phone:717-851-6120
Practice Address - Fax:717-409-6223
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015250363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103057224Medicaid
PA1255355657OtherGROUP NPI
PA103057224Medicaid
PA867633OtherMEDICARE GROUP NUMBER