Individual provider · Type 1 NPI

Carolyn Jolly

Nurse Practitioner · Pismo Beach, CA

NPI number 1104839968 Active

Practice location

877 Oak Park Blvd
Pismo Beach, CA 93449-3292

Call (805) 474-8450 Map

Other practice locations

  • 125 Oakside Ct Ste 201, Canton, GA 30114-2498 · (844) 893-0012
  • 5920 West Mall, Atascadero, CA 93422-4232 · (805) 466-0676
  • 1102 E Clark Ave Ste 120A, Santa Maria, CA 93455-5175 · (805) 332-8185
  • 2271 S Depot St, Santa Maria, CA 93455-1216 · (805) 922-0561
  • 3200 Highlands Pkwy SE Ste 410, Smyrna, GA 30082-5136 · (844) 893-0012
  • 217 W Central Ave Ste G, Lompoc, CA 93436-2830 · (805) 735-4292
  • 2920 Ronald Reagan Blvd Ste 103, Cumming, GA 30041-7578 · (844) 893-0012
  • 1206 Pointe Centre Dr Ste 230, Chattanooga, TN 37421-4094 · (844) 893-0012

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP16453 (CA)
Nurse Practitioner 363L00000X35971 (TN)

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 wit…

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About NPI 1104839968

Carolyn Jolly's National Provider Identifier is 1104839968, issued on Aug 14, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pismo Beach, CA. The record was last updated on Sep 21, 2026.