Individual
JEDEDIAH JOEL HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2011012631
MA
363L00000X
Nurse Practitioner
NPP37676
RI
Other
Enumeration date
02/08/2012
Last updated
03/07/2024
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