Individual
JILL A HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
19636 N 27TH AVE, SUITE 202, PHOENIX, AZ 85027-4013
(623) 869-5000
(623) 869-0927
Mailing address
19636 N 27TH AVE, SUITE 202, PHOENIX, AZ 85027-4013
(623) 869-5000
(623) 869-0927
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP1367
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
966541
—
AZ
Enumeration date
07/03/2006
Last updated
07/08/2007
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