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Individual

JENNIFER C JOLLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
824 ILLINOIS AVE, STEVENS POINT, WI 54481-3112
(715) 342-7775
Mailing address
7402 ALDERSON ST, SCHOFIELD, WI 54476-5013
(715) 587-8838

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
174226-030
WI
363L00000X
Nurse Practitioner
Primary
8310-33
WI

Other

Enumeration date
06/09/2013
Last updated
04/17/2018
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