Individual
JOLLY MICHELE DALLMIER
Active
Individual
JOLLY MICHELE DALLMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-000147
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-000147
LICENSE
IL
01
—
P00465586
RAILROAD MEDICARE/PALMETTO GBA
IL
Enumeration date
12/06/2007
Last updated
10/11/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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