Individual
MRS. JENNY EDWARDS TOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN256290
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN256290
GA
Other
Enumeration date
10/26/2020
Last updated
11/06/2024
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