IndividualActive
Komal Jolly, LVN
NPI 1730064064 · Licensed Vocational Nurse · Fresno, CA
Provider details
- NPI number
- 1730064064
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- License
- VN683409 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2811 W Cesar Chavez Blvd
Fresno, CA 93706-2306
Phone: (559) 493-4400
Fax: (559) 493-4292
Approximate (ZIP-level) locationGet directions
Mailing address
5568 W Mesa Ave
Fresno, CA 93722-3170
Registry dates
- Enumerated
- 2025-08-06
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.