Individual
KRISTI LYNN JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1784 LACROSSE AVE, SAINT PAUL, MN 55119-4808
(651) 645-9424
(651) 645-3216
Mailing address
2060 CENTRE POINTE BLVD, SUITE 3, SAINT PAUL, MN 55120-1269
(651) 774-0011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1685916
MN
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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