Jolly, Allene Craven

Jolly, Allene Craven is an individual health care provider with primary practice located at 3050 Corder Dr , Corinth MS 38834-6210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Jolly, Allene Craven can be contacted via phone (662) 284-9995.

Contact Information

Primary practice address
3050 Corder Dr Corinth MS 38834-6210
Phone: (662) 284-9995
Fax: (662) 284-9920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2723082 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R529109 Mississippi

Profile Details

NPI number 1538106802
LBN Legal business name Jolly, Allene Craven
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 9th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538106802 NPPES
Florida MEDICAID 306470100
Florida MEDICAID 09659357
Florida Other G3584

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