Briauna C Jolly, LPN | |
5104 Taylor Ave Apt 2, Racine, WI 53406-5535 | |
(706) 254-4323 | |
Not Available |
Full Name | Briauna C Jolly |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 5104 Taylor Ave Apt 2, Racine, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639932031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LPN076429 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Briauna C Jolly, LPN 5104 Taylor Ave Apt 2, Racine, WI 53406-5535 Ph: (706) 254-4323 | Briauna C Jolly, LPN 5104 Taylor Ave Apt 2, Racine, WI 53406-5535 Ph: (706) 254-4323 |
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