HOLLY JO LONG (NPI# 1396244687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396244687 |
| Entity Type | Individual |
| Full Name | HOLLY JO LONG |
| Credential | APRN |
| Practice Address |
8087 Washington Village Dr Ste 120 Dayton OH 45458-1873 |
| Mailing Address |
1015 Lofton Dr Englewood OH 45315-8739 |
| Practice Telephone | 9372034848 |
| Practice Fax Number | 9372034370 |
| Mailing Telephone | 9379744981 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
APRN.CNS.16705 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447633425 | Holly A Long | Pharmacist | 10317 Glenmary Farm Dr, Louisville, KY 40291-4037 | 2015-07-08 |
| 1407181662 | Holly J Long | Registered Nurse | 96 Old Kings Hwy, Lake Katrine, NY 12449-5118 | 2009-10-06 |
| 1649403924 | Holly Long | Physical Therapist | Route 10, Three Mile Curve Road, Logan, WV 25601 | 2009-09-02 |
| 1639639057 | Holly Long | Registered Nurse | 13501 Ne 28th St, Vancouver, WA 98682-8091 | 2019-03-21 |
| 1023409661 | Holly Long | Dietitian, Registered | 1920 County Road 581, Wesley Chapel, FL 33544-9262 | 2015-02-17 |
| 1164812863 | Holly Long | Pharmacy Technician | 1330 Martin Blvd, Middle River, MD 21220-4104 | 2015-02-02 |
| 1821234964 | Holly Rebecca Long | Counselor | 198 East Center Street, Moab, UT 84532 | 2008-12-19 |
| Street Address |
8087 WASHINGTON VILLAGE DR STE 120 |
| City | DAYTON |
| State | OH |
| Zip Code | 45458-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902336282 | Sharon Spruill | Registered Nurse | 8087 Washington Village Dr Ste 120, Dayton, OH 45458-1873 | 2017-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457909624 | Mckenzie Givhan Mason | Clinical Nurse Specialist | 1 Wyoming St, Dayton, OH 45409-2711 | 2019-08-29 |
| 1629454848 | Nancy Silverman | Clinical Nurse Specialist | 40 N Main St, Ste 1360, Dayton, OH 45423-1021 | 2015-08-11 |
| 1073917621 | Pamela Sue Lamb | Clinical Nurse Specialist | 324 Wilmington Ave, Dayton, OH 45420-1890 | 2014-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701933 | Jared Andrew Mort | Clinical Nurse Specialist | 2792 Rhett Dr, Beavercreek, OH 45434-6259 | 2019-10-17 |
| 1336555069 | Kelly Dion | Clinical Nurse Specialist | 4110 Warrensville Center Road, Warrensville Heights, OH 44122 | 2014-07-02 |
| 1093955072 | Kathleen Ellen Meyer | Clinical Nurse Specialist | 3696 Beverly Hills Dr, Rocky River, OH 44116-3745 | 2009-03-03 |
| 1619094182 | Sue E. Moore | Clinical Nurse Specialist | 270 S Grant Ave, Columbus, OH 43215-5334 | 2007-03-22 |
| 1225017114 | Kathleen A. Ondus | Clinical Nurse Specialist | 1130 Tower Blvd Ste B, Lorain, OH 44052-5200 | 2006-01-10 |
| 1073165999 | Kayla Marie Little | Clinical Nurse Specialist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-07-11 |
| 1295202026 | Kathleen Bolton | Clinical Nurse Specialist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2018-10-30 |
| 1497238638 | Karen N Meade | Clinical Nurse Specialist | 460 W 10th Ave Fl 20, Columbus, OH 43210-1240 | 2018-09-13 |
| 1629580618 | Elizabeth Dale Weaver | Clinical Nurse Specialist | 500 Thomas Ln, Columbus, OH 43214-1401 | 2017-10-30 |
| 1821508342 | Jane A Sidwell | Clinical Nurse Specialist | 8064 South Ave, Boardman, OH 44512-6153 | 2017-10-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.