Individual
SAMANTHA JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5936 LIMESTONE RD, HOCKESSIN, DE 19707-8930
(302) 235-8008
Mailing address
3 CLARION CT, NEWARK, DE 19713-1604
(302) 290-7225
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
LG-0001105
DE
Other
Enumeration date
01/18/2018
Last updated
10/24/2019
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