| NPI | 1154301463 |
|---|---|
| Former Name | ANDREA B JOLLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 44971) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 46464) |
| 207P00000X Emergency Medicine (Licence: WI 62084) | |
| 207Q00000X Family Medicine (Licence: MN 46464) | |
| 207Q00000X Family Medicine (Licence: SC 33012) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2024-08-26 |