Individual
MARY SULLIVAN JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
250 MAIN STREET, SUITE E, CADIZ, KY 42211
(270) 522-6963
(270) 522-7231
Mailing address
PO BOX 2140, CADIZ, KY 42211-2140
(270) 522-6963
(270) 522-7231
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007943
KY
Other
Enumeration date
03/14/2013
Last updated
05/01/2013
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