Individual
HOLLI JAYNE HENOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1001 S OHIO ST, SALINA, KS 67401
(785) 827-6453
(785) 823-1255
Mailing address
1001 S OHIO ST, SALINA, KS 67401-5364
(785) 827-6453
(785) 823-1255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-78469
KS
363L00000X
Nurse Practitioner
78469
KS
363LP2300X
Primary Care Nurse Practitioner
53-78469
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201229600A
—
KS
Enumeration date
11/06/2018
Last updated
05/22/2020
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