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Contact Information

STACEY M JOLLEY, MD
877 JEFFERSON AVE
MEMPHIS, TN38103
 Phone: 901-545-7100
 Fax: 901-545-8996
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for STACEY M JOLLEY · (Female)

NPI Number 1538428289
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2012
Last updated 06/27/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 57298
Hospital affiliation(s)
  • PARKRIDGE MEDICAL CENTER - (Acute Care)
    2333 MCCALLIE AVE
    CHATTANOOGA, TN 37404
  • REGIONAL MEDICAL CENTER AT MEMPHIS - (Acute Care)
    877 JEFFERSON AVENUE
    MEMPHIS, TN 38103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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