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

Timothy B Jolley, MD

Individual provider Pediatrics Physician · NPI 1407907504

Timothy B Jolley, MD is a Pediatrics Physician in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1322 3rd St SE Ste 240
Puyallup, WA 98372-3771
Phone: (253) 848-1572
Fax: (253) 841-3719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence MD00015352 (WA)
Pediatrics Physician Taxonomy 208000000X · Licence MD00015352 (WA)

Record details

NPI number1407907504
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 15, 2007
Last updated in NPPESFebruary 16, 2011

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