Individual
MRS. HOLLY ANNE JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4740 COMMERCIAL PARK CT, CLEMMONS, NC 27012-9387
(336) 245-9521
(855) 308-2340
Mailing address
PO BOX 360, SYLVA, NC 28779-0360
(888) 339-6065
(828) 538-4441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005881
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659625309
—
NC
01
—
1865H
BCBS NC
NC
01
—
7877454
UHC
NC
01
—
8018003
CIGNA
NC
01
—
CS2404500328
CARESOURCE
NC
01
—
LX493E-AE
DEVOTED HEALTH
NC
01
—
NCG841D
MEDICARE
NC
01
—
Q00260028
RAILROAD MEDICARE
NC
Enumeration date
11/02/2012
Last updated
04/14/2025
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