Individual
JENNIFER HOLLADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
207 S LEBANON ST, LEBANON, IN 46052-2544
(765) 482-3630
Mailing address
207 S LEBANON ST, LEBANON, IN 46052-2544
(765) 482-3630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007838A
IN
Other
Enumeration date
03/28/2018
Last updated
10/29/2019
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