Jolly, Sarah
Jolly, Sarah is an individual health care provider with primary practice located at 2800 E Broad St Ste 514 , Mansfield TX 76063-6417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jolly, Sarah can be contacted via phone (817) 465-5311.Contact Information
Primary practice address
2800 E Broad St Ste 514
Mansfield TX 76063-6417
Phone: (817) 465-5311
Fax: (817) 465-8569
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA14992 | Texas |
Profile Details
NPI number | 1225708514 |
---|---|
LBN Legal business name | Jolly, Sarah |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 17th, 2021 |
Last updated | Oct 12th, 2021 - about 4 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 | 1225708514 | NPPES |
Other | TEMPORARY | TMB LICENSE |
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