CAROLYN JOLLY
NPI 1710468889
Registered Nurse - Home Health in Fort Worth, TX
Active since August 27, 2018
About Carolyn Jolly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN JOLLY (NPI 1710468889) is an individual home health provider in Fort Worth, Texas, licensed in Texas (567543) and active in the NPI registry since August 2018.
NPPES Registry Identity
NPI1710468889
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameCAROLYN JOLLY
Location Address1101 W VICKERY BLVDFort Worth, TX 76104-1025
Mailing AddressPo Box 99283Fort Worth, TX 76199-1383 · (682) 885-6294 · Fax (682) 885-1135
Phone(682) 885-6294
Fax(682) 885-1135
Sole ProprietorYes
Enumeration DateAugust 27, 2018
✔ NPI 1710468889 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in TX · 567543
1101 W VICKERY BLVD, Fort Worth, TX 76104
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710468889, enumerated as an "individual" on August 27, 2018.
The provider is located at 1101 W VICKERY BLVD FORT WORTH, TX 76104 and the phone number is (682) 885-6294.
Registered Nurse with taxonomy code 163WH0200X and a focus in Home Health.