Healthcare Provider Details

I. General information

NPI: 1144810177
Provider Name (Legal Business Name): JOLYE HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2021
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 PHILADELPHIA RD
ROSEDALE MD
21237-4311
US

IV. Provider business mailing address

31 GREENLEAF RD
PARKVILLE MD
21234-3369
US

V. Phone/Fax

Practice location:
  • Phone: 410-941-8212
  • Fax: 410-941-8244
Mailing address:
  • Phone: 410-941-8212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ABIOLA OSHIN
Title or Position: PRESIDENT
Credential: FNP
Phone: 410-941-8212