Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Jolly

Individual provider Nurse Practitioner · NPI 1104839968

Carolyn Jolly is a Nurse Practitioner in Pismo Beach, California. Qualified in 2006, 20 years ago. Practices with Twelvestone Infusion Centers LLC, a 64-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

877 Oak Park Blvd
Pismo Beach, CA 93449-3292
Phone: (805) 474-8450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5920 West Mall, Atascadero, CA 93422-4232 — (805) 466-0676
  • 217 W Central Ave Ste G, Lompoc, CA 93436-2830 — (805) 735-4292
  • 1102 E Clark Ave Ste 120a, Santa Maria, CA 93455-5175 — (805) 332-8185
  • 2271 S Depot St, Santa Maria, CA 93455-1216 — (805) 922-0561

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP16453 (CA)

Record details

NPI number1104839968
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Twelvestone Infusion Centers Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pismo Beach