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
Fax: (817) 465-8569
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225708514 NPPES
Other TEMPORARY TMB LICENSE

Popular Providers