Individual
RYAN KATELYN JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8700 MONROVIA ST STE 310, LENEXA, KS 66215-3500
(913) 399-1924
(913) 940-1045
Mailing address
15621 W 87TH STREET PKWY # 264, LENEXA, KS 66219-1435
(913) 634-4325
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
82211
KS
Other
Enumeration date
07/25/2023
Last updated
10/11/2023
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