LAUREL K JOLLY


Address: 2071 Herndon Ave, Clovis, CA 93611-6101
Phone: 5593245330

LAUREL K JOLLY (NPI# 1972610855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972610855
Entity Type Individual
Full Name LAUREL K JOLLY
Credential M.S.
Practice Address 2071 Herndon Ave
Clovis
CA 93611-6101
Mailing Address 3057b Rhino St
Lemoore
CA 93245-2219
Practice Telephone 5593245330
Mailing Telephone 5598163059
Enumeration Date 2006-08-24
Last Update Date 2012-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170300000X Genetic Counselor, MS GC000270 CA Other Service Providers

Office Location

Street Address 2071 HERNDON AVE
City CLOVIS
State CA
Zip Code 93611-6101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194701250 Vinaya Murthy Genetic Counselor, MS 2071 Herndon Ave, Clovis, CA 93611-6101 2005-12-21
1881125193 Tram Nguyen Pharmacist 2071 Herndon Ave, Clovis, CA 93611-6101 2017-03-27
1730610643 Woon Inouye Pharmacist 2071 Herndon Ave, Clovis, CA 93611-6101 2017-03-22
1457882409 Debbie Flint Pharmacist 2071 Herndon Ave, Clovis, CA 93611-6101 2017-03-22
1275064339 Diana Blumberg Pharmacist 2071 Herndon Ave, Clovis, CA 93611-6101 2017-03-21
1538617170 Rachel Graziani Genetic Counselor, MS 2071 Herndon Ave, Clovis, CA 93611-6101 2016-09-12
1134421704 Kelly Ayala Obstetrics & Gynecology 2071 Herndon Ave, Clovis, CA 93611-6101 2010-12-02
1407035108 Jennifer Irene Bague Social Worker 2071 Herndon Ave, Clovis, CA 93611-6101 2007-10-30
1194920413 James Dale Massa Jr. Genetic Counselor, MS 2071 Herndon Ave, Attn Genetics Dpt, Clovis, CA 93611-6101 2007-06-18
1710014378 Judith Lynn Meadows Dietitian, Registered 2071 Herndon Ave, Clovis, CA 93611 2007-02-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033773122 Mao Thao Pharmacist 2133 Shaw Avenue, Clovis, CA 93611 2019-04-24
1326506098 Lauren Moriah Horsley Speech-Language Pathologist 650 W. Alluvial Ave., Clovis, CA 93611 2019-03-12
1780171223 Alamos Care Skilled Nursing Facility 2193 Alamos Ave, Clovis, CA 93611 2018-04-19
1346612215 Aimee Rasch Occupational Therapy Assistant 650 West Alluvial Avenue, Clovis, CA 93611 2015-10-30
1356778302 Jonathan Crosby Physician Assistant 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 2013-10-07
1093142697 Stacey Melissa Montes Nurse Practitioner 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 2013-09-27
1538594163 Carly Bren Lepp Physician Assistant 2006 Shaw Avenue, Clovis, CA 93611 2013-09-13
1811246150 Vishal Arya Pharmacist 2518 Austin Ave, Clovis, CA 93611 2012-08-31
1669757209 Kiran V Atwal Pharmacist 1815 Herndon Ave--walgreens, Clovis, CA 93611 2011-10-14
1952615957 Weight Away Nutritionist 1895 Herndon Ave, Suite 105, Clovis, CA 93611 2010-08-02
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Taxonomy Information

Taxonomy Code 170300000X
Grouping Other Service Providers
Classification Genetic Counselor, MS

Taxonomy Definition

A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
Notes: Source: National Society of Genetic Counselors [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194701250 Vinaya Murthy Genetic Counselor, MS 2071 Herndon Ave, Clovis, CA 93611-6101 2005-12-21
1538617170 Rachel Graziani Genetic Counselor, MS 2071 Herndon Ave, Clovis, CA 93611-6101 2016-09-12
1194920413 James Dale Massa Jr. Genetic Counselor, MS 2071 Herndon Ave, Attn Genetics Dpt, Clovis, CA 93611-6101 2007-06-18
1407922743 Patricia Florence O'lague Genetic Counselor, MS 2071 Herndon Ave, Clovis, CA 93611-6101 2006-11-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366058950 Daisy Hernandez Genetic Counselor, MS 2020 Zonal Ave # 410, Los Angeles, CA 90089-0121 2020-09-18
1114532769 Jenna Stoltzfus Genetic Counselor, MS 725 Welch Rd # 5273, Palo Alto, CA 94304-1601 2020-09-10
1063026144 Jacob Comeaux Genetic Counselor, MS 1450 Biggy St # 2517r, Los Angeles, CA 90033-1006 2020-09-04
1831700277 Christina Kimiko Fujii Genetic Counselor, MS 5641 Delcliff Cir, Sacramento, CA 95822-2456 2020-08-10
1114535994 Meghan Therese Blunt Genetic Counselor, MS 333 City Blvd W Ste 800, Orange, CA 92868-5901 2020-07-17
1639794076 Joshua Ryan Barnhart Genetic Counselor, MS 133 La Casa Via Ste 140, Walnut Creek, CA 94598-3005 2020-06-11
1548883648 Marian Joy Godinez Tsang Genetic Counselor, MS 4445 Thistle Dr, San Jose, CA 95136-2051 2020-05-22
1730702044 Meghan Juliana Mckenna Genetic Counselor, MS 900 Blake Wilbur Dr Rm W3036, Palo Alto, CA 94304-2201 2020-05-20
1861014458 Makenna Nicole Dubois Genetic Counselor, MS 9110 Blackbird Ave, Fountain Valley, CA 92708-6404 2020-05-18
1700426889 Donna Lee Bernstein Genetic Counselor, MS 239 Reserve Ct, San Marcos, CA 92078-2054 2020-01-07
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City CLOVIS
Zip Code 93611

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Dataset Information

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.

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