Carolyn Jolly in Pismo Beach - Nurse Practitioner
Carolyn Jolly - NPI 1104839968
Carolyn Jolly is a Nurse Practitioner in Pismo Beach, California. Carolyn Jolly practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Carolyn Jolly is 1104839968. The last update date is 2023-11-02.
Carolyn Jolly's current location address is 877 Oak Park Blvd, Pismo Beach, California. You can contact this provider via phone number 8054748450 and fax number 8054748454. The mailing address for Carolyn Jolly is 877 Oak Park Blvd, Pismo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Jolly |
|---|---|
| Address | 877 Oak Park Blvd, Pismo Beach, California |
| Phone Number | 8054748450 |
| Fax Number | 8054748454 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104839968 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2023-11-02 |
Provider Mailing Address Detail
| Address | 877 Oak Park Blvd |
|---|---|
| City | Pismo Beach |
| State | California (CA) |
| Post Code | 934493292 |
| Phone Number | 8054748450 |
| Fax Number | 8054748454 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP16453 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identifier code assigned to Carolyn Jolly by the Centers for Medicare & Medicaid Services?
The Carolyn Jolly has been issued the NPI (National Provider Identifier) 1104839968 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Carolyn Jolly's physical address?
The Carolyn Jolly is physically located at 877 Oak Park Blvd, in the city of Pismo Beach, CA, with the postal code 934493292.
What is Carolyn Jolly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carolyn Jolly's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104839968 to Carolyn Jolly?
The Centers for Medicare & Medicaid Services assigned the 1104839968 to Carolyn Jolly on 2006-08-14.
When was the information regarding Carolyn Jolly most recently updated?
The details pertaining to the Carolyn Jolly, including its address, specialty, and other relevant information, were last refreshed on 2023-11-02.
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