Individual
REGINE JOLY
Active
Individual
REGINE JOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MPH, CHES, CCM,
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN2005292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
MEDICARE
FL
Enumeration date
12/20/2018
Last updated
12/20/2018
Update your record
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