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Individual

JANET M JOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
2500 N STATE ST, DIVISION OF RHEUMATOLOGY, JACKSON, MS 39216-4500
(601) 984-5540
(601) 984-5535
Mailing address
2500 N STATE ST, DEPT OF MEDICINE DIVISION OF RHEUMATOLOGY, JACKSON, MS 39216-4500
(601) 984-5540
(601) 984-5535

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R858122
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00578202
MS
05
178989
AL
Enumeration date
07/04/2006
Last updated
01/05/2016
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