Individual
JOLLY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
18300 HOUSTON METHODIST DR, HOUSTON, TX 77058-6302
(248) 410-4389
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP139980
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
AP139980
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP139980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421481903
—
TX
01
—
421481904
CSHCN TPI
TX
Enumeration date
01/10/2019
Last updated
10/03/2024
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