Organization Active NPI

Jolly Health and Wellness PLLC

  • Health Service Clinic/Center
  • Statesville, NC
National Provider Identifier
1437876109
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
JOLLY HEALTH AND WELLNESS PLLC
Practice address
216 Seven Springs Loop
Statesville, NC 28625-9150
Phone
(704) 437-1650
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Stevens Jolly, FNPNPI 1427362367
Title
FNP
Phone
(704) 437-1650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

216 Seven Springs Loop
Statesville, NC 28625-9150

Mailing address

1544 E Broad St Ste 139
Statesville, NC 28625-4302
Phone (704) 437-1650

National Provider Directory

National Provider Directory

Locations

1544 E Broad St
Statesville, NC 28625

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1437876109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 E BROAD ST STE 139",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254302",
            "telephone_number": "704-437-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SEVEN SPRINGS LOOP",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259150",
            "telephone_number": "704-437-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLLY HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "STEVENS",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "704-437-1650",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.