Individual
JESSICA LYNN HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1 SOUTHTOWNE DR, POTOSI, MO 63664-5729
(572) 438-9355
Mailing address
1 SOUTHTOWNE DR, POTOSI, MO 63664-5729
(572) 438-9355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018012262
MO
Other
Enumeration date
09/18/2018
Last updated
04/27/2023
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