SANDRA N. JOLLEY ARNP PHD NPI 1508890559

NPI Information

NPI: 1508890559
Provider Name: SANDRA N. JOLLEY, ARNP, PHD
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
4245 ROOSEVELT WAY NE
CAMPUS BOX 354780
SEATTLE, WA
ZIP 98105
Phone: (206) 598-3000
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Sandra N. Jolley, ARNP, PHD is a pediatrics nurse practitioner in Seattle, WA. Sandra N. Jolley, ARNP, PHD NPI is 1508890559. 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:

4245 ROOSEVELT WAY NE
CAMPUS BOX 354780
SEATTLE, WA
ZIP 98105-920
Phone: (206) 598-3000
Fax: (206) 598-3040

The enumeration date for this NPI number is 7/10/2006 and was last updated on 10/4/2010.

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
1	163W00000X	Registered Nurse		RN00072137	WASHINGTON	No
2	363L00000X	Nurse Practitioner		AP30000385	WASHINGTON	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP30000385	WASHINGTON	No
4	363LP0200X	Nurse Practitioner	Pediatrics	AP30000385	WASHINGTON	Yes

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
1	P31033	MEDICARE UPIN	WASHINGTON
2	9605239	MEDICAID	WASHINGTON
3	AB21410	MEDICARE PIN	WASHINGTON

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: 11/14/2023

NPI Synchronization or Removal

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