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Active NPI 1841297744 Individual Practitioner Male Practitioner

Jeff P Jolly , PA

Physician Assistant • Longview, WA

Professional Overview & Biography Verified Profile Summary

Jeff Jolly, PA is a registered healthcare professional specializing in Physician Assistant in Longview, WA. Practice services are available at 1615 DELAWARE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1615 Delaware St

Longview, WA 986322310

Telephone 3604142360
Fax 3604142361
Associated Practice Facility / Clinic
🏢 Peacehealth Facility NPI 1073510277

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
34 Specialists

Practicing in Longview, WA (3774 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10002542

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8324048 (WA)
Commercial Insurance / Payer ID Crime Victims
8908756 (WA)
Commercial Insurance / Payer ID Labor & Ind.
134929 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Choong Kim , MD

Radiology - Radiation Oncology

NPI 1023292950

Doctor of Medicine (M.D.)

Dr. Steven Spence , DNP, ARNP, FNP-BC

Nurse Practitioner - Family

NPI 1023685492

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified)

Dr. Alexander Shar , MD

Internal Medicine - Hematology

NPI 1033280920

Doctor of Medicine (M.D.)

Peter Leyzac , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033451968

Certified Registered Nurse Anesthetist

NPI 1033468376

Doctor of Pharmacy (Pharm.D.)

Holly Wells , FNP-BC

Nurse Practitioner - Family

NPI 1033712526

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1615 DELAWARE ST, LONGVIEW, WA 986322310 (Tel: 3604142360)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 249, LONGVIEW, WA 986327154 (Tel: 3604142000)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEFF JOLLY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA10002542 in WA)

🟢
Initial NPI Registration & Enumeration July 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841297744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2005
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 249

Longview, WA 986327154

Phone: 3604142000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.