MEDICARE: JOLYE HEALTHCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1144810177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOLYE HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	31 GREENLEAF RD
Second Line	:
City	:	PARKVILLE
State	:	MD
Zip	:	21234-3369
Country	:	US
Telephone Number	:	410-941-8212
Fax Number	:

Provider Business Practice Location Address
First Line	:	8800 PHILADELPHIA RD
Second Line	:
City	:	ROSEDALE
State	:	MD
Zip	:	21237-4311
Country	:	US
Telephone Number	:	410-941-8212
Fax Number	:	410-941-8244

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ABIOLA OSHIN
Credential	:	FNP
Telephone Number	:	410-941-8212

Provider Enumeration Date	:	01/23/2021
Last Update Date	:	04/18/2026

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