Provider Demographics
NPI:1659160588
Name:RENOLLET, JOLEE DAWN
Entity type:Individual
Prefix:
First Name:JOLEE
Middle Name:DAWN
Last Name:RENOLLET
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 KEDDIE ST
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-2820
Mailing Address - Country:US
Mailing Address - Phone:775-687-2294
Mailing Address - Fax:
Practice Address - Street 1:141 KEDDIE ST
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-2820
Practice Address - Country:US
Practice Address - Phone:775-687-2294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator