REBECCA BRYANT JOLLY
NPI 1689980401
Nurse Practitioner - Family in Phoenix, AZ

Active since August 31, 2010
4545 E SHEA BLVD, STE. 175, PHOENIX, AZ 85028(602) 464-5200 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rebecca Bryant Jolly NPPES

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

REBECCA BRYANT JOLLY (NPI 1689980401) is an individual family provider in Phoenix, Arizona, licensed in Georgia (147381) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1689980401
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBECCA BRYANT JOLLY
Location Address4545 E SHEA BLVD, STE. 175Phoenix, AZ 85028-3074
Mailing Address155 Grogans LndgSandy Springs, GA 30350-3131 · (770) 393-8366
Sole ProprietorNo
Enumeration DateAugust 31, 2010
NPI 1689980401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · 147381
4545 E SHEA BLVD, Phoenix, AZ 85028

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.

Nurse Practitioner
4545 E SHEA BLVD, 175
PHOENIX, AZ 85028
Nurse Practitioner (Adult Health)
4545 E SHEA BLVD, SUITE 175
PHOENIX, AZ 85028
Nurse Practitioner (Family)
4545 E SHEA BLVD, 175
PHOENIX, AZ 85028
Nurse Practitioner (Family)
4545 E SHEA BLVD, 175
PHOENIX, AZ 85028
Counselor (Mental Health)
4545 E SHEA BLVD, SUITE 240
PHOENIX, AZ 85028
Family Medicine
4545 E SHEA BLVD, STE. 175
PHOENIX, AZ 85028
Physical Therapist
4545 E SHEA BLVD, SUITE 168
PHOENIX, AZ 85028
Nurse Practitioner
4545 E SHEA BLVD, 175
PHOENIX, AZ 85028

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 Rebecca Jolly's NPI number?

The NPI number for Rebecca Jolly is 1689980401. It was assigned to this individual provider in the NPPES registry on August 31, 2010.

Where is Rebecca Jolly located?

Rebecca Jolly practices at 4545 E Shea Blvd Ste. 175, Phoenix, AZ 85028. The listed phone number is (602) 464-5200.

What is Rebecca Jolly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Rebecca Jolly was last updated on August 31, 2010. 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.