Individual
CAROLYN JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
877 OAK PARK BLVD, PISMO BEACH, CA 93449-3292
(805) 474-8450
Mailing address
877 OAK PARK BLVD, PISMO BEACH, CA 93449-3292
(805) 474-8450
(805) 474-8454
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP16453
CA
Other
Enumeration date
08/14/2006
Last updated
11/02/2023
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