Individual
JENNIFER JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(914) 682-9100
Mailing address
525 E 72ND ST APT 18C, NEW YORK, NY 10021-9606
(323) 313-6008
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402264
NY
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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