Individual
NICOLE M JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12183 LOCKSLEY LN STE 101, STE 101, AUBURN, CA 95602-2050
(916) 706-7070
(916) 706-7070
Mailing address
12183 LOCKSLEY LN STE 101, AUBURN, CA 95602-2050
(916) 706-7070
(916) 706-7070
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-TIGWBU
CA
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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