Individual
BRIAUNA C JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5104 TAYLOR AVE APT 2, RACINE, WI 53406-5535
(706) 254-4323
Mailing address
5104 TAYLOR AVE APT 2, RACINE, WI 53406-5535
(706) 254-4323
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN076429
GA
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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