MS. MARY JO HOLLAND (NPI# 1437362084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437362084 |
| Entity Type | Individual |
| Full Name | MS. MARY JO HOLLAND |
| Credential | CFNP |
| Practice Address |
124 Professors Row Medford MA 02155-5816 |
| Practice Telephone | 6176273350 |
| Practice Fax Number | 6176273592 |
| Mailing Telephone | 6176273350 |
| Mailing Fax Number | 6176273592 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
101278 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265740070 | Mary Jo Holland | Specialist/Technologist | 20402 N 15th Ave, Phoenix, AZ 85027-3636 | 2010-09-15 |
| Street Address |
124 PROFESSORS ROW |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-5816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932156106 | Nandini Talwar | Psychiatry & Neurology | 124 Professors Row, Tufts Univ Health Services, Medford, MA 02155 | 2006-05-31 |
| 1104376904 | Mariah Swiech Henderson | Physician Assistant | 124 Professors Row, Medford, MA 02155-5816 | 2016-10-05 |
| 1669658712 | Tufts University Health Service | Clinic/Center | 124 Professors Row, Medford, MA 02155-5816 | 2008-01-18 |
| 1235320383 | Zara Konarski | Clinical Nurse Specialist | 124 Professors Row, Medford, MA 02155 | 2007-08-05 |
| 1265649420 | Leslie Anne Brown-velazquez | Physician Assistant | 124 Professors Row, Medford, MA 02155 | 2007-05-17 |
| 1275747974 | Janie Pollack | Internal Medicine | 124 Professors Row, Medford, MA 02155 | 2007-05-10 |
| 1093928806 | Susan Fay Mahoney | Registered Nurse | 124 Professors Row, Tufts University Health Service, Medford, MA 02155-5816 | 2007-05-08 |
| 1063541928 | Kathleen M O'dea | Physician Assistant | 124 Professors Row, Medford, MA 02155-5816 | 2007-03-05 |
| 1013043603 | John A Myers | Pediatrics | 124 Professors Row, Medford, MA 02155-5816 | 2007-02-26 |
| 1629120407 | Ellen Creamer Sitron | Nurse Practitioner | 124 Professors Row, Tufts University Health Services, Medford, MA 02155 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1770005407 | Suzanne Ellen Sanderson | Nurse Practitioner | 2620 E Barnett Rd Ste H, Medford, OR 97504-8383 | 2017-07-14 |
| 1194189902 | Josephine Magpantay Gaviola | Nurse Practitioner | 101 Main St Ste 116, Medford, MA 02155-4530 | 2016-04-07 |
| 1033514286 | Lauren E Hodgdon | Nurse Practitioner | 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 | 2014-10-30 |
| 1962820209 | Jessica Anne Marie Gunn | Nurse Practitioner | 21 Ohio Trl, Medford, NJ 08055-8931 | 2014-04-03 |
| 1912333451 | Travis Adam Day | Nurse Practitioner | 70 Bower Dr Ste 110, Medford, OR 97501-3689 | 2013-09-16 |
| 1184058703 | Ashley Riley | Nurse Practitioner | 101 Main St Ste 107, Medford, MA 02155-4530 | 2013-08-30 |
| 1578841169 | Shannon Jamerson | Nurse Practitioner | 619 N Front St, Medford, OK 73759-2704 | 2011-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1366763336 | Edward William Walton | Nurse Practitioner | 2 Pinecrest Dr, Medford, NJ 08055-8513 | 2010-06-14 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on MS. MARY JO HOLLAND.
| 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.