Jolley, Sandra N.
Jolley, Sandra N. is an individual health care provider with primary practice located at 4245 Roosevelt Way Ne Campus Box 354780, Seattle WA 98105-6920. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Jolley, Sandra N. can be contacted via phone (206) 598-3000.Contact Information
Primary practice address
4245 Roosevelt Way Ne Campus Box 354780
Seattle WA 98105-6920
Phone: (206) 598-3000
Fax: (206) 598-3040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN00072137 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30000385 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP30000385 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP30000385 | Washington |
Profile Details
| NPI number | 1508890559 |
|---|---|
| LBN Legal business name | Jolley, Sandra N. |
| Credentials | ARNP, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Oct 4th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508890559 | NPPES |
| Washington | MEDICAID | 9605239 |
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