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General NPI Number Information
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NPI Number | 1609685262
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Entity Type | Organization
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Legal Business Name | JENNA JOLLY PMHNP-BC, FNP-BC PLLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 26 S PROSPECT ST STE 6
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City | AMHERST
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State | MA
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Zip | 01002-2268
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Country | US
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Telephone | 413-547-4886
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Fax | 413-296-9354
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Provider Business Mailing Address
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Address Line | 26 S PROSPECT ST STE 6
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City | AMHERST
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State | MA
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Zip | 01002-2268
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Country | US
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Telephone | 413-547-4886
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Fax | 413-296-9354
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | JENNA JOLLY
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Credential | PMHNP
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Telephone | 413-221-6060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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