Jeff P Jolly is a Physician Assistant in Longview, Washington. Jeff P Jolly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeff P Jolly is 1841297744. The last update date is 2007-07-08.
Jeff P Jolly's current location address is 1615 Delaware St, Longview, Washington. You can contact this provider via phone number 3604142360 and fax number 3604142361. The mailing address for Jeff P Jolly is 1615 Delaware St, Longview, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeff P Jolly |
|---|---|
| Address | 1615 Delaware St, Longview, Washington |
| Phone Number | 3604142360 |
| Fax Number | 3604142361 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1841297744 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1615 Delaware St |
|---|---|
| City | Longview |
| State | Washington (WA) |
| Post Code | 9863223100 |
| Phone Number | 3604142360 |
| Fax Number | 3604142361 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA10002542 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8908756 | WA | CRIME VICTIMS | |
| 134929 | WA | LABOR & IND. | |
| 8324048 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeff P Jolly by the Centers for Medicare & Medicaid Services (CMS)?
The Jeff P Jolly has been assigned the NPI (National Provider Identifier) 1841297744. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Jeff P Jolly is geographically located?
The Jeff P Jolly is physically situated at the following location: 1615 Delaware St, Longview, WA, 9863223100.
What is Jeff P Jolly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeff P Jolly is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
When did Jeff P Jolly receive its 1841297744 assignment?
The Jeff P Jolly was assigned its 1841297744 on 2005-07-07, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jeff P Jolly most recently updated or revised?
The details related to Jeff P Jolly, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.