KRISTEN JOLLY RN NPI 1376694448

NPI Information

  • NPI: 1376694448
  • Provider Name: KRISTEN JOLLY, RN
  • Classification: Registered Nurse - 163WM0102X
  • Specialization: Maternal Newborn
  • Entity Type: Individual
  • Address: 2 VETERAN PLAZA
    PMC LEARNING INSTITUTE
    STROUDSBURG, PA
    ZIP 18360
  • Phone: (570) 426-1688

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NPI Details

Kristen Jolly, RN is a maternal newborn registered nurse in Stroudsburg, PA. Kristen Jolly, RN NPI is 1376694448. 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:

2 VETERAN PLAZA
PMC LEARNING INSTITUTE
STROUDSBURG, PA
ZIP 18360
Phone: (570) 426-1688
Fax: (570) 426-1832

The enumeration date for this NPI number is 1/16/2007 and was last updated on 7/8/2007.

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
1163WM0102XRegistered NurseMaternal NewbornRN285967LPENNSYLVANIAYes

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
11016058850001MEDICAIDPENNSYLVANIA

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: 11/21/2025

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