Individual provider · Type 1 NPI

Nicole M. Jolly

Peer Specialist · Auburn, CA

NPI number 1417808445 Active

Practice location

12183 Locksley Ln Ste 101, Ste 101
Auburn, CA 95602-2050

Call (916) 706-7070 Map

Fax (916) 706-7070

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-TIGWBU (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1417808445

Nicole M. Jolly's National Provider Identifier is 1417808445, issued on Feb 5, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Auburn, CA. The record was last updated on Feb 5, 2026.