Individual
ALLENE CRAVEN JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3050 CORDER DR, CORINTH, MS 38834-6210
(662) 284-9995
(662) 284-9920
Mailing address
3050 CORDER DR, CORINTH, MS 38834-6210
(662) 284-9995
(662) 284-9920
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
ARNP2723082
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
R529109
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09659357
—
MS
05
—
306470100
—
FL
01
—
G3584
BCBS
FL
Enumeration date
06/02/2006
Last updated
07/09/2007
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