Individual provider · Type 1 NPI

Komal Jolly, LVN

Licensed Vocational Nurse · Fresno, CA

NPI number 1730064064 Active

Practice location

2811 W Cesar Chavez Blvd
Fresno, CA 93706-2306

Call (559) 493-4400 Map

Fax (559) 493-4292

Mailing address

5568 W Mesa Ave
Fresno, CA 93722-3170

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	VN683409 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1730064064

Komal Jolly, LVN's National Provider Identifier is 1730064064, issued on Aug 6, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Fresno, CA. The record was last updated on Aug 6, 2025.