Provider Demographics
NPI:1093356891
Name:SOLOMON, JOLYNN (FNP)
Entity Type:Individual
Prefix:MS
First Name:JOLYNN
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:JOLYNN
Other - Middle Name:
Other - Last Name:HAIRSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1020 WOODSMANS REACH
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-8504
Mailing Address - Country:US
Mailing Address - Phone:301-404-9957
Mailing Address - Fax:
Practice Address - Street 1:100 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-4364
Practice Address - Country:US
Practice Address - Phone:302-422-3311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0001336363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily