Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nichole Kristine Joly, PA-C

Individual provider Surgical Physician Assistant · NPI 1154474369

Nichole Kristine Joly, PA-C is a Surgical Physician Assistant in Washington, District of Columbia. Licensed in District of Columbia and New York. Registered with an NPI since 2007.

Licensed in
DC, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3800 Reservoir Rd NW 4PHC
Washington, DC 20007-2113
Phone: (202) 444-5022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA031121 (DC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 010809 (NY)

Record details

NPI number1154474369
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESJune 5, 2015

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