Thomas, Jolly

Thomas, Jolly is an individual health care provider with primary practice located at 1936 Amelia Ct Geriatric Center & Senior Services, Dallas TX 75235-7706. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Thomas, Jolly can be contacted via phone (214) 590-8369.

Contact Information

Primary practice address
1936 Amelia Ct Geriatric Center & Senior Services Dallas TX 75235-7706
Phone: (214) 590-8369
Fax: (214) 590-8780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 593284 Texas

Profile Details

NPI number 1811961519
LBN Legal business name Thomas, Jolly
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Dec 3rd, 2012 - about 12 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 1811961519 NPPES
Texas Other 8N9803 BLUE CROSS BLUE SHIELD
Texas MEDICAID 179001601 BLUE CROSS BLUE SHIELD

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