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TIMOTHY B JOLLEY M.D.
NPI 1407907504
General Practice in Puyallup, WA

Active since January 15, 2007
1322 3RD ST SE STE 240, PUYALLUP, WA 98372(253) 848-1572(253) 841-3719 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy B Jolley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY B JOLLEY M.D. (NPI 1407907504) is an individual general practice provider in Puyallup, Washington, licensed in Washington (MD00015352) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1407907504
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameTIMOTHY B JOLLEYCredential: M.D.
Location Address1322 3RD ST SE STE 240Puyallup, WA 98372-3771
Mailing Address10209 136th St EPuyallup, WA 98374-3076 · (253) 848-1535 · Fax (253) 848-6537
Phone(253) 848-1572
Fax(253) 841-3719
Sole ProprietorNo
Enumeration DateJanuary 15, 2007
Last NPPES UpdateFebruary 16, 2011
✔ NPI 1407907504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WA · MD00015352
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPediatricsTaxonomy 208000000X · License MD00015352 (WA)
1322 3RD ST SE STE 240, Puyallup, WA 98372
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Other Identifiers 2

Medicaid1001502WA
Medicare UPINA08735

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TORI ALYSSA KORNELSEN MB BCH BAO
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (235) 697-1420
ALEXINNA CIANA JOHNS M.D.
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-5757
DR. STEPHEN ROBERT DURKEE JR. MD
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
MATHEW DICKSON DO
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
BRIAN DAVID LAY D.O.
Family Medicine
1322 3RD ST SE STE 240, MS 1322-2-EFM
PUYALLUP, WA 98372
Pierce County (253) 697-1420
DR. KEANNA G WORTHY DO
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
KHUSHBU SODHI ATWAL DO
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
ROBERT THOMAS MEYER
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Jolley's NPI number?

The NPI number for Timothy Jolley is 1407907504. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Timothy Jolley located?

Timothy Jolley practices at 1322 3rd St SE Ste 240, Puyallup, WA 98372. The listed phone number is (253) 848-1572.

What is Timothy Jolley's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Timothy Jolley was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.