Individual
MRS. JENNIFER S HOLLENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1019 E WATER ST, ELMIRA, NY 14901-3332
(607) 733-7661
Mailing address
129 GRANDVIEW AVE, ELMIRA, NY 14905-1936
(607) 207-1803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
706758-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404967
NY
Other
Enumeration date
10/14/2015
Last updated
07/31/2025
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