Individual
JENNIFER J. HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5201 HARRY HINES BLVD, MEDICAL STAFF SERVICES, DALLAS, TX 75235-7708
(214) 590-8006
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
(214) 590-4105
(214) 590-4162
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03244
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184912701
—
TX
01
—
8Y1270
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/01/2006
Last updated
07/10/2007
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