Individual
ANNA JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34300 TALKEETNA SPUR ROAD, TALKEETNA, AK 99676-9701
(907) 733-9208
Mailing address
HC 89 BOX 8190, TALKEETNA, AK 99676-9701
(907) 733-9208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
19437
AK
163WC0400X
Case Management Registered Nurse
Primary
19437
AK
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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