Individual
KRISTEN JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2 VETERAN PLAZA, PMC LEARNING INSTITUTE, STROUDSBURG, PA 18360
(570) 426-1688
(570) 426-1832
Mailing address
206 E BROWN ST, POCONO HEALTHCARE MGMT. - PROFESSIONAL BLDG, E STROUDSBURG, PA 18301-3006
(570) 420-4969
(570) 476-3754
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
RN285967L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016058850001
—
PA
Enumeration date
01/16/2007
Last updated
07/08/2007
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