NANCY PUTNAM JOLLY ANP-C NPI 1316930746

NPI Information

  • NPI: 1316930746
  • Provider Name: NANCY PUTNAM JOLLY, ANP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 711 N DEKALB ST
    SHELBY, NC
    ZIP 28150
  • Phone: (704) 482-1482

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NPI Details

Nancy Putnam Jolly, ANP-C is an adult health nurse practitioner in Shelby, NC. Nancy Putnam Jolly, ANP-C NPI is 1316930746. 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:

711 N DEKALB ST
SHELBY, NC
ZIP 28150-911
Phone: (704) 482-1482
Fax: (704) 480-6012

The enumeration date for this NPI number is 8/31/2005 and was last updated on 3/21/2011.

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
1363LA2200XNurse PractitionerAdult Health900397NORTH CAROLINAYes

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
18958513MEDICAIDNORTH CAROLINA
22809106MEDICARE ID-TYPE UNSPECIFIED
3P96312MEDICARE UPIN

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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