Individual
MS. STACEY MORGAN JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103
(901) 545-7100
(901) 545-8996
Mailing address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-8699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
57298
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2012
Last updated
06/27/2018
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