Individual
JANE G HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
640 BETHLEHEM PIKE, MONTGOMERY, PA 18936
(215) 368-4350
(215) 368-2768
Mailing address
507 HAVEN COURT, SELLERSVILLE, PA 18960
(215) 257-5605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP005081C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H036370
BLUE SHIELD
PA
01
—
P00185875
RR MEDICARE
PA
Enumeration date
09/25/2006
Last updated
07/08/2007
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