Active NPI
Jolly Jaison
- Family Medicine Physician
- McAllen, TX
National Provider Identifier
1639681778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- F05170791
- Practice address
- 1200 E Savannah Ave Ste 14
McAllen, TX 78503-1728 - Phone
- (956) 668-1200
- Fax
- (956) 668-1212
- NPI assigned
- Oct 30, 2017
- Last updated
- Oct 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F05170791 | TX | Primary |
Addresses
Primary practice location
1200 E Savannah Ave Ste 14
McAllen, TX 78503-1728
Mailing address
1200 E Savannah Ave Ste 14
McAllen, TX 78503-1728
Phone (956) 668-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F05170791 | TX | MD | Family Medicine Physician |
Interoperability endpoints
- jolly.jaison.p2@direct.alegiscare.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1639681778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E SAVANNAH AVE STE 14",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031728",
"telephone_number": "956-668-1200",
"fax_number": "956-668-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E SAVANNAH AVE STE 14",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785031728",
"telephone_number": "956-668-1200",
"fax_number": "956-668-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAISON",
"first_name": "JOLLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "F05170791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.