Individual
MS. JENNA JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26 S PROSPECT ST STE 6, AMHERST, MA 01002-2268
(413) 547-4886
(413) 296-9354
Mailing address
26 S PROSPECT ST STE 6, AMHERST, MA 01002-2268
(413) 547-4886
(413) 296-9354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
251899
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
251899
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704172
—
MA
Enumeration date
09/13/2006
Last updated
01/06/2025
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