Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN I SHOLLY
Active Sole ProprietorJACLYN I SHOLLY is a Specialist healthcare provider located in NEWARK, New York. NPI 1225382062 is currently active in the NPPES registry. Verify at CMS.
Specialist · NEWARK, NY
Registration Details
- NPI Number
- 1225382062
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2012 (13.755626831296 yrs)
- Last Updated
- Nov 1, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
848 PEIRSON AVENEWARK, NY, 145139762Browse NY providers · Browse ZIP 14513
- Phone
- 3153312086
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in NEWARK, NY
| Name | Credential | NPI |
|---|---|---|
| ERIN INGERSOLL | OTR/L | 1629262753 |
| MR. KYLE D HOUSER | M.ED., M.A., CBIST | 1265627756 |
| MR. KEVIN MARK PENNER | OTR/L | 1164703765 |
| MRS. LINDA MARIE AVEDISIAN | PT | 1144501743 |
| TRACEY CHANDLER | — | 1275895096 |
| MRS. KERRA RANK | — | 1144582743 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.