Individual provider · Type 1 NPI

Jolly Daniel, FNP

Family Nurse Practitioner · Portland, OR

NPI number 1679205777 Active

Practice location

4805 NE Glisan St Ste 11N
Portland, OR 97213-2933

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

  • 4097 NW 176th Ave, Portland, OR 97229-3088 · (503) 784-0743

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X10031091 (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1679205777

Jolly Daniel, FNP's National Provider Identifier is 1679205777, issued on Jun 28, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Jan 2, 2025.