Search › Wisconsin › 152W00000X
Amanda Jolly, O.D
NPI 1396031951 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2485 Lineville Rd Ste 102
Green Bay, WI 54313 - Phone
- (920) 857-3700
- Fax
- (920) 857-3888
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin