Individual
ELIZABETH JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2368 DRAKE CV W, HERNANDO, MS 38632-6942
(901) 633-8189
Mailing address
2510 WIRT RD, OAKLAND, TN 38060-3337
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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