Jolly, Jenora H
Jolly, Jenora H is an individual health care provider with primary practice located at 3190 N Swan Rd , Tucson AZ 85712-1227. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Jolly, Jenora H can be contacted via phone (520) 547-9700.Contact Information
Primary practice address
3190 N Swan Rd
Tucson AZ 85712-1227
Phone: (520) 547-9700
Fax: (520) 547-9717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 44155 | Arizona |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 44155 | Arizona |
Profile Details
| NPI number | 1760537815 |
|---|---|
| LBN Legal business name | Jolly, Jenora H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Feb 10th, 2012 - about 13 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 | 1760537815 | NPPES |
| Arizona | Other | Z143258 | MEDICARE PTAN |
| Arizona | Other | 587584 | MEDICARE PTAN |
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