Individual
MRS. JOLLY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
10605 CONCORD ST STE 205, KENSINGTON, MD 20895-2526
(301) 949-4242
(301) 949-8041
Mailing address
14620 BLACKBURN RD, BURTONSVILLE, MD 20866-3113
(240) 381-2540
(301) 421-1944
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R092171
MD
Other
Enumeration date
09/26/2018
Last updated
09/26/2024
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