Individual
JENNIFER HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
402 OSIGIAN BLVD, STE 400, WARNER ROBINS, GA 31088-8988
(478) 333-3058
Mailing address
402 OSIGIAN BLVD, STE 400, WARNER ROBINS, GA 31088-8992
(478) 952-2403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN220207
GA
363LF0000X
Family Nurse Practitioner
Primary
RN220207
GA
Other
Enumeration date
12/03/2015
Last updated
08/19/2020
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