NICHOLE KRISTINE JOLY PA-C NPI 1154474369

NPI Information

  • NPI: 1154474369
  • Provider Name: NICHOLE KRISTINE JOLY, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 3800 RESERVOIR RD NW
    4PHC
    WASHINGTON, DC
    ZIP 20007
  • Phone: (202) 444-5022

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NPI Details

Nichole Kristine Joly, PA-C is a surgical physician assistant in Washington, DC. Nichole Kristine Joly, PA-C NPI is 1154474369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3800 RESERVOIR RD NW
4PHC
WASHINGTON, DC
ZIP 20007-113
Phone: (202) 444-5022

The enumeration date for this NPI number is 1/19/2007 and was last updated on 6/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical010809NEW YORKNo
2363AS0400XPhysician AssistantSurgicalPA031121DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A400041044MEDICARE PINNEW YORK
2A400036739MEDICARE PINNEW YORK
3A400041043MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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