Brian Jolley, QMHS3

Individual provider Active NPI Case Manager/Care Coordinator · Nelsonville, OH

NPI 1659015253 · NPPES record last updated Apr 21, 2022

Key facts

NPI
1659015253
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
14455 Kimberley Rd
Nelsonville, OH 45764-9430
Phone
(740) 753-9656
Fax
(740) 753-9659
NPI assigned
Apr 21, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

14455 Kimberley Rd
Nelsonville, OH 45764-9430

Mailing address

PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366

Other providers in Nelsonville, OH

All providers in Nelsonville, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.