Jolly, Mary A

Jolly, Mary A is an individual health care provider with primary practice located at 13450 N Meridian St Ste 354 , Carmel IN 46032-1486. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Jolly, Mary A can be contacted via phone (317) 338-5100.

Contact Information

Primary practice address
13450 N Meridian St Ste 354 Carmel IN 46032-1486
Phone: (317) 338-5100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000895 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71000895 Indiana

Profile Details

NPI number 1265622021
LBN Legal business name Jolly, Mary A
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2007
Last updated Jul 6th, 2022 - about 3 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 1265622021 NPPES
Indiana MEDICAID 200477550

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