Individual
MS. TONYA MICHELLE JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 821-8038
(813) 974-0483
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-0483
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us