National Provider Identifier
Jaclyn I Sholly
Jaclyn I Sholly is listed in the NPPES registry with a primary specialty of Specialist in Newark, NY and a listed phone number of (315) 331-2086.
Source: public NPPES record, last updated November 01, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1225382062
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- November 01, 2012
- Last Updated
- November 01, 2012
Practice Location
- 848 Peirson Ave
- Newark, NY 14513-9762
Phone: (315) 331-2086
Specialties
- Specialist (174400000X)
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Biography
Jaclyn Sholly is a Newark, New York provider associated with Waynearc/Roosevelt Children’s Center, part of The Arc Wayne. The Roosevelt Children’s Center focuses on early childhood intervention and preschool services, including evaluations, integrated and special education classrooms, therapy services, and family-centered autism programming for young children in Wayne and surrounding counties.
Full Record
- NPI
- 1225382062
- Entity Type
- Individual
- Last Name
- Sholly
- First Name
- Jaclyn
- Middle Name
- I
- Mailing Street Address
- 848 Peirson Ave
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-9762
- Mailing Country
- US
- Practice Street Address
- 848 Peirson Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-9762
- Practice Country
- US
- Practice Phone
- (315) 331-2086
- Enumeration Date
- November 01, 2012
- Last Updated
- November 01, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)