Organization
JANET HOLLEY, CRNP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L HOLLEY CRNP (MANAGER)
(205) 486-2743
Entity
Organization
Contact information
Practice address
42030 HIGHWAY 195, SUITE D, HALEYVILLE, AL 35565-7054
(205) 486-2743
(205) 486-4343
Mailing address
42030 HIGHWAY 195 STE D, P O BOX 970, HALEYVILLE, AL 35565-7054
(205) 486-2743
(205) 486-4343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-069794
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891017150
—
AL
01
—
P00431210
RR MEDICARE
AL
Enumeration date
07/30/2010
Last updated
12/06/2010
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