Individual
JEREMY C HOLLINGSEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3031 NE STEPHENS ST, ROSEBURG, OR 97470-6237
(541) 229-7038
(541) 464-4474
Mailing address
320 E HIGHWAY 50, O FALLON, IL 62269-2704
(618) 624-3368
(618) 624-3387
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201901586NP-PP
IL
363LF0000X
Family Nurse Practitioner
Primary
201901586NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201901586NP-PP
—
OR
Enumeration date
02/27/2019
Last updated
01/20/2026
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