Individual
TRAVIS JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 OLD FERN HILL RD STE 500, WEST CHESTER, PA 19380-3420
(610) 235-4100
Mailing address
915 OLD FERN HILL RD STE 500, WEST CHESTER, PA 19380-3420
(610) 235-4100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN725977
PA
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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