Jolly, Kristen
Jolly, Kristen is an individual health care provider with primary practice located at 2 Veteran Plaza Pmc Learning Institute, Stroudsburg PA 18360. She recently has only one registered license in Nursing Service Providers / Maternal Newborn, which is considered as her primary health care specialty. Jolly, Kristen can be contacted via phone (570) 426-1688.Contact Information
Primary practice address
2 Veteran Plaza Pmc Learning Institute
Stroudsburg PA 18360
Phone: (570) 426-1688
Fax: (570) 426-1832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Maternal Newborn | 163WM0102X | RN285967L | Pennsylvania |
Profile Details
| NPI number | 1376694448 |
|---|---|
| LBN Legal business name | Jolly, Kristen |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1376694448 | NPPES |
| Pennsylvania | MEDICAID | 1016058850001 |
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