Individual
JENNY S HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3003 N CENTRAL AVE, STE 800, PHOENIX, AZ 85012-2902
(505) 453-7559
Mailing address
26108 S 198TH WAY, QUEEN CREEK, AZ 85142-6115
(505) 453-7559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4671
AZ
363LF0000X
Family Nurse Practitioner
R48428
NM
Other
Enumeration date
08/09/2008
Last updated
02/24/2016
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