Individual provider · Type 1 NPI

Nichole Kristine Joly, PA-C

Surgical Physician Assistant · Washington, DC

NPI number 1154474369 Active

Practice location

3800 Reservoir Rd NW, 4PHC
Washington, DC 20007-2113

Call (202) 444-5022 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X010809 (NY)
Surgical Physician Assistant Primary 363AS0400XPA031121 (DC)

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About NPI 1154474369

Nichole Kristine Joly, PA-C's National Provider Identifier is 1154474369, issued on Jan 19, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Washington, DC. The record was last updated on Jun 5, 2015.