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Individual

MRS. ENJA O HOLLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
27A MEDICAL CENTER DR, JACKSON, TN 38301-3949
(731) 424-5080
(731) 424-4109
Mailing address
1804 HIGHWAY 45 BYP STE 604, JACKSON, TN 38305-4403
(731) 660-7971
(731) 660-8739

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
14431
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119490
RN LICENSE
TN
01
14431
APN LICENSE
TN
Enumeration date
12/15/2009
Last updated
12/20/2018
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