Individual
JUDITH A JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N6421 RAVEN RD, PARDEEVILLE, WI 53954-8917
(214) 417-2089
Mailing address
N6421 RAVEN RD, PARDEEVILLE, WI 53954-8917
(214) 417-2089
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
242442-30
WI
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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