Individual
DR. JENNIFER A JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868
(714) 456-5967
Mailing address
333 CITY BLVD W STE 1400, ORANGE, CA 92868-5900
(714) 456-5967
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD60218218
WA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD60218218
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0279991
L&I
WA
05
—
1235313867
—
WA
Enumeration date
12/18/2007
Last updated
10/07/2019
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