Individual
AMY S JOLLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
128 E MILLTOWN RD, SUITE 105, WOOSTER, OH 44691
(330) 345-8060
(330) 345-5983
Mailing address
128 E MILLTOWN RD, SUITE 105, WOOSTER, OH 44691
(330) 345-8060
(330) 345-5983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35058875
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0835967
—
OH
01
—
2123062
MEDICAID GROUP
—
01
—
9304461
MEDICARE GROUP
—
Enumeration date
09/12/2006
Last updated
05/02/2016
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