Organization Active NPI

Jenna Jolly Pmhnp-BC, FNP-BC PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Amherst, MA
National Provider Identifier
1609685262
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JENNA JOLLY PMHNP-BC, FNP-BC PLLC
Practice address
26 S Prospect St Ste 6
Amherst, MA 01002-2268
Phone
(413) 547-4886
Fax
(413) 296-9354
NPI assigned
Jan 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Jenna Jolly, PMHNPNPI 1760587174
Title
Owner/Provider
Phone
(413) 221-6060

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

26 S Prospect St Ste 6
Amherst, MA 01002-2268

Mailing address

26 S Prospect St Ste 6
Amherst, MA 01002-2268
Phone (413) 547-4886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250128000812 MA Part B Supplier - Clinic/Group Practice 2668901232 Receives reassigned benefits from 1 practitioner
Practice locations: Amherst, MA

National Provider Directory

National Provider Directory

Locations

26 S Prospect St
Ste 6
Amherst, MA 01002
Phone (413) 256-2600

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": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1609685262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S PROSPECT ST STE 6",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022268",
            "telephone_number": "413-547-4886",
            "fax_number": "413-296-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S PROSPECT ST STE 6",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022268",
            "telephone_number": "413-547-4886",
            "fax_number": "413-296-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA JOLLY PMHNP-BC, FNP-BC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "413-221-6060",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.