Individual
NANCY ELLEN JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
214 MAIN ST, CADIZ, KY 42211-9153
(270) 522-0898
Mailing address
214 MAIN ST, CADIZ, KY 42211-9153
(270) 522-0898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56759
KY
390200000X
Student in an Organized Health Care Education/Training Program
J09-873-354
KY
Other
Enumeration date
03/15/2018
Last updated
02/02/2023
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