Nicole Shantel Jolley, CPM
Midwife in Washington, DC. Individual provider (NPI-1).
NPI number1295025971
StatusActive
Last updated in NPPESApr 14, 2011
Details
- NPI
- 1295025971
- Entity type
- Individual (NPI-1)
- Name
- Nicole Shantel Jolley
- Credential
- CPM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2011
- Last updated
- Apr 14, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 176B00000X | Midwife | 0129-00065 | VA | Yes |
Practice location
1221 G St NeWashington, DC 20002-4423
Phone 703-489-2585
Mailing address
Po Box 48502Washington, DC 20002-0502
Phone 703-489-2585
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