JENNIFER C JOLLY (NPI# 1760820096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760820096 |
| Entity Type | Individual |
| Full Name | JENNIFER C JOLLY |
| Credential | APNP |
| Practice Address |
824 Illinois Ave Stevens Point WI 54481-3112 |
| Mailing Address |
7402 Alderson St Schofield WI 54476-5013 |
| Practice Telephone | 7153427775 |
| Mailing Telephone | 7155878838 |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2018-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
174226-030 | WI | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 8310-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922269869 | Jennifer L Jolly | Social Worker | 371s Main St 202a, Fall River, MA 02721-5348 | 2008-06-23 |
| 1609388107 | Jennifer Jolly | Behavioral Analyst | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2017-10-25 |
| 1699852897 | Jennifer Jolly | Recreation Therapist | 1224 Vine St, Los Angeles, CA 90038-1612 | 2006-11-01 |
| Street Address |
824 ILLINOIS AVE |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54481-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528053626 | Lynn B Kohlmeier | Pediatrics | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2005-09-14 |
| 1427618487 | Alicia Wojtalewicz | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2019-06-20 |
| 1487212486 | Ascension St Michael's Hospital, Inc | Technician/Technologist | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2019-06-04 |
| 1275090169 | Michelle Whitehouse | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2019-02-27 |
| 1326524919 | Marie Beranek | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2018-07-17 |
| 1629570890 | Lori Lenhard | Counselor | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2018-03-05 |
| 1013454164 | Dessia J Laxton-reinke | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2017-01-27 |
| 1225570633 | Jacquelyn D Nichols | Physician Assistant | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2016-11-16 |
| 1770987299 | Kali Southworth | Physician Assistant | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2014-10-13 |
| 1609281567 | Shayna Shackford | Family Medicine | 824 Illinois Ave, Stevens Point, WI 54481 | 2014-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1700400736 | Sarai Sophia Holbrook | Speech-Language Pathologist | Room 038 Cps, 1901 Fourth Ave., Uw-stevens Point, Stevens Point, WI 54481 | 2020-06-05 |
| 1164994117 | Copperleaf Home Health Inc | Homemaker | 1077 Wilshire Blvd, Stevens Point, WI 54481 | 2018-12-31 |
| 1568980274 | Melissa Jean Gutierrez | Dental Hygienist | 941 Michigan Ave, Stevens Point, WI 54481 | 2017-09-01 |
| 1164946026 | Brittany Rose Larocque | Chiropractor | 3908 Green Ct, Stevens Point, WI 54481 | 2017-08-01 |
| 1245750009 | Alyssa Kate Koth | Speech-Language Pathologist | Rm 038 Cps 1901 Fourth Ave, Unviersity of Wisconsin-stevens Point, Stevens Point, WI 54481 | 2017-06-22 |
| 1881133734 | Teri Jean Edlebeck | Specialist/Technologist | 1017 Williams Street, Stevens Point, WI 54481 | 2017-02-13 |
| 1215475892 | Valerie Lynn Fons | Dental Hygienist | 941 Michigan Avenue, Stevens Point, WI 54481 | 2017-02-03 |
| 1427509439 | Tanner Ozanne | Chiropractor | 2212 Division St, Stevens Point, WI 54481 | 2016-10-14 |
| 1134594765 | Dana Fredrickson | Registered Nurse | 616 Franklin St, Stevens Point, WI 54481 | 2015-12-08 |
| Find all providers in zip 54481 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023032075 | Marietta S Kern | Nurse Practitioner | 3301 Stanley St, Stevens Point, WI 54481-1323 | 2006-07-26 |
| 1821556424 | Elizabeth Nicole Borchardt | Nurse Practitioner | 5412 Us Highway 10 E, Stevens Point, WI 54482-8559 | 2019-03-04 |
| 1275090169 | Michelle Whitehouse | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2019-02-27 |
| 1417434598 | Clarissa M Simonson | Nurse Practitioner | 900 Illinois Ave, Stevens Point, WI 54481-3114 | 2018-07-23 |
| 1326524919 | Marie Beranek | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2018-07-17 |
| 1952814733 | Tanya Elmergreen | Nurse Practitioner | 200 Division St, Stevens Point, WI 54481-1843 | 2017-11-15 |
| 1013454164 | Dessia J Laxton-reinke | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2017-01-27 |
| 1093148512 | Stephanie K Mundt | Nurse Practitioner | 5412 Us Highway 10 E, Stevens Point, WI 54482-8559 | 2013-08-20 |
| 1588913677 | Carol A. Lauer | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2012-09-05 |
| 1780932608 | Lori L Zurawski | Nurse Practitioner | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2012-08-27 |
| Find all providers in STEVENS POINT | ||||
| City | STEVENS POINT |
| Zip Code | 54481 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.