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Individual

MRS. JILL F HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2629 BAPTIST CHAPEL RD, GODWIN, NC 28344-8605
(910) 567-2589
Mailing address
2629 BAPTIST CHAPEL RD, GODWIN, NC 28344-8605

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0050-03867
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000861
NC
Enumeration date
01/03/2008
Last updated
02/07/2017
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