Individual
JANINE JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
212 GAMBLE DR, LINCOLNTON, NC 28092
(704) 735-7145
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-0567
(704) 864-7608
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5011417
NC
Other
Enumeration date
02/01/2019
Last updated
10/21/2019
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