Individual
ALEXA JOLLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
61 INDUSTRIAL PARK RD STE 1, PLYMOUTH, MA 02360-7246
(508) 830-1234
Mailing address
61 INDUSTRIAL PARK RD STE 1, PLYMOUTH, MA 02360-7246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2389678
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2389678
MA
Other
Enumeration date
03/26/2021
Last updated
06/03/2024
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