Jolly, Jeff P

Jolly, Jeff P is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2310. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jolly, Jeff P can be contacted via phone (360) 414-2360.

Contact Information

Primary practice address
1615 Delaware St Longview WA 98632-2310
Phone: (360) 414-2360
Fax: (360) 414-2361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10002542 Washington

Profile Details

NPI number 1841297744
LBN Legal business name Jolly, Jeff P
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841297744 NPPES
Washington Other 8908756 CRIME VICTIMS
Washington Other 134929 CRIME VICTIMS
Washington MEDICAID 8324048 CRIME VICTIMS

Popular Providers