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

Marlin Lee Jolly

Individual provider Certified Registered Nurse Anesthetist · NPI 1174000913

Marlin Lee Jolly is a Certified Registered Nurse Anesthetist (CRNA) in Tacoma, Washington. Qualified in 2018, 8 years ago. Practices with Renew Medical Group of Arkansas Ltd, a 127-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
8
Licensed in
AR
In the registry since
2018
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Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence C003250 (AR)

Record details

NPI number1174000913
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 24, 2018
Last updated in NPPESJuly 24, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Renew Medical Group Of Arkansas Ltd — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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