Shannon D Jolly (NPI# 1477009041, PAC ID# 7911295175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1477009041 |
| PAC ID by PECOS | 7911295175 |
| Professional Enrollment ID | I20161004002253 |
| Full Name | Shannon D Jolly |
| Organization Legal Name | AMBITIONS OF IDAHO INC |
| Address |
1031 W Sanetta St Nampa ID 83651-5047 |
| Phone Number | 2084667443 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 6305121328 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1031 W Sanetta St, Nampa, ID 83651-5047 | 2084667443 | AMBITIONS OF IDAHO INC |
| Organization Legal Name | AMBITIONS OF IDAHO INC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Short | Physician Assistant | Ambitions of Idaho Inc | 1019 W Sanetta St, Nampa, ID 83651-5047 |
| Ryan J Hulbert | Psychologist, Clinical | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Steven M Schlough | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Ricardo Ramirez-hernandez | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Angel M Ford | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Leann R Stensgaard | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Jeannie Dalton | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Jennifer Duncan | Clinical Social Worker | Ambitions of Idaho Inc | 1038 Northwest Blvd, Suite 100, Coeur D Alene, ID 83814-2249 |
| Susan N Dehaan | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Troy A Groth | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Street Address |
1031 W SANETTA ST |
| City | NAMPA |
| State | ID |
| Zip | 83651-5047 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan J Hulbert | Psychologist, Clinical | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Ricardo Ramirez-hernandez | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Angel M Ford | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Leann R Stensgaard | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Jeannie Dalton | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Susan N Dehaan | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Troy A Groth | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Deborah J Nelsen | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Sheila D Hancock | Clinical Social Worker | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| James J Cruzen | Psychiatry | Ambitions of Idaho Inc | 1031 W Sanetta St, Nampa, ID 83651-5047 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Heiner | Optometry | 2103 N Cassia St, Nampa, ID 83651-1461 | |
| Trent B Giles | Family Medicine | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Ginger L Powers | Nurse Practitioner | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Matthew J Nelson | Family Medicine | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Shannon Bordes | Nurse Practitioner | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Janette M Hiebert | Clinical Social Worker | Centerpointe, Inc. | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1748 |
| Todd D Rainsdon | Clinical Social Worker | Centerpointe, Inc. | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1748 |
| Jamie L Williams | Clinical Social Worker | Centerpointe, Inc. | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1748 |
| Jon C Morris | Physical Therapy | 1809 N Bingham Dr, Nampa, ID 83651-1764 | |
| Sarah Hall | Nurse Practitioner | All Horizons Inc | 1007 W Orchard Ave, All Seasons Mental Health, Nampa, ID 83651-1878 |
| Find all physicians in zip 83651 | |||
| City | NAMPA |
| Zip Code | 83651 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | NAMPA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Shannon D Jolly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.