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KOMAL JOLLY LVN
NPI 1730064064
Licensed Vocational Nurse in Fresno, CA

Active since August 06, 2025
2811 W CESAR CHAVEZ BLVD, FRESNO, CA 93706(559) 493-4400(559) 493-4292 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Komal Jolly Lvn NPPES

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

KOMAL JOLLY LVN (NPI 1730064064) is an individual licensed vocational nurse in Fresno, California, licensed in California (VN683409) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1730064064
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKOMAL JOLLYCredential: LVN
Location Address2811 W CESAR CHAVEZ BLVDFresno, CA 93706-2306
Mailing Address5568 W Mesa AveFresno, CA 93722-3170 · (559) 761-9680
Phone(559) 493-4400
Fax(559) 493-4292
Sole ProprietorNo
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1730064064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · VN683409
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
2811 W CESAR CHAVEZ BLVD, Fresno, CA 93706
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Other Providers at the Same Location NPPES 2

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

MARA BLANCO
Dietitian, Registered
2811 W CESAR CHAVEZ BLVD
FRESNO, CA 93706
Fresno County (559) 493-4400
DR. TU QUYNH DEPRY DO
Internal Medicine
2811 W CESAR CHAVEZ BLVD
FRESNO, CA 93706
Fresno County (559) 493-4433

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 Komal Jolly's NPI number?

The NPI number for Komal Jolly is 1730064064. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Komal Jolly located?

Komal Jolly practices at 2811 W Cesar Chavez Blvd, Fresno, CA 93706. The listed phone number is (559) 493-4400.

What is Komal Jolly's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Komal Jolly was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.