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Individual
MS. TONYA MICHELLE JOLLY
Active
Individual
MS. TONYA MICHELLE JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11030111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121735800
—
FL
01
—
LP9QV
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/18/2009
Last updated
07/03/2024
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