JENNIFER HOLLAND


Address: 402 Osigian Blvd, Ste 400, Warner Robins, GA 31088-8988
Phone: 4783333058

JENNIFER HOLLAND (NPI# 1649645532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649645532
Entity Type Individual
Full Name JENNIFER HOLLAND
Credential NP
Practice Address 402 Osigian Blvd
Ste 400
Warner Robins
GA 31088-8988
Mailing Address 402 Osigian Blvd
Ste 400
Warner Robins
GA 31088-8992
Practice Telephone 4783333058
Mailing Telephone 4789522403
Enumeration Date 2015-12-03
Last Update Date 2020-08-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN220207 GA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN220207 GA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 402 OSIGIAN BLVD
STE 400
City WARNER ROBINS
State GA
Zip Code 31088-8988

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285717942 Deepti Jain Bhasin Psychiatry & Neurology 402 Osigian Blvd, Sutie 400, Warner Robins, GA 31088-8988 2006-10-23
1174930820 Ann Marie Becker Cassibry Counselor 402 Osigian Blvd, Suite 400, Warner Robins, GA 31088-8988 2014-07-15
1104147081 Deepti Bhasin Md Inc Psychiatry & Neurology 402 Osigian Blvd, Sutie 400, Warner Robins, GA 31088-8988 2010-06-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982218921 Sarah Newman Pharmacist 1081 Ga-96, Warner Robins, GA 31088 2020-09-08
1619599115 Alana Jane Sibley Registered Nurse 940 Ga - 96, Warner Robins, GA 31088 2020-05-07
1033779657 Jodi Lynne Pettygrove Nurse Practitioner 115 Havelock Cir, Warner Robins, GA 31088 2019-06-17
1164994901 Gwendolyn Jordan Taylor Registered Nurse 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 2018-12-18
1447721543 Amy Tanner Behavioral Analyst 200 Cresview Church Rd #1806, Warner Robins, GA 31088 2018-12-16
1518435676 Phoenix Health Center Case Management 940 Ga-96, Warner Robins, GA 31088 2018-11-07
1427534320 Jared Dean Johnson Social Worker 146 Lakepointe Drive, Warner Robins, GA 31088 2018-07-13
1285124180 Cmp Academy & Billing Service Contractor 105 S Commercial Circle, Warner Robins, GA 31088 2018-05-16
1730692377 Benzer Pharmacy Pharmacy 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 2017-11-06
1821507476 Timothy Doyle Thomas Registered Nurse 940-c Hwy 96, Warner Robins, GA 31088 2017-09-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427657584 Lindsey Marie Odessa Nurse Practitioner 623 S Houston Lake Rd Ste 200, Warner Robins, GA 31088-9094 2020-10-20
1598372401 Cristy Lynn Palmer Nurse Practitioner 105 Tommy Stalnaker Dr Ste 1, Warner Robins, GA 31088-8035 2020-09-24
1396354619 Vonteena Gizelle Cutter Nurse Practitioner 237 Smithville Church Rd Ste 100, Warner Robins, GA 31088-7803 2020-07-23
1164066106 Jenna Rubin Franz Nurse Practitioner 109 Lake Front Dr, Warner Robins, GA 31088-6017 2019-11-02
1033779657 Jodi Lynne Pettygrove Nurse Practitioner 115 Havelock Cir, Warner Robins, GA 31088 2019-06-17
1114484201 Yolanda Renee Strong Nurse Practitioner 2006 Karl Dr Apt 202, Warner Robins, GA 31088-9405 2019-02-25
1275045528 Felicia Graddick Nurse Practitioner 108 Bald Eagle Trl, Warner Robins, GA 31093-1190 2017-10-26
1043620966 Advanced Wellness Care P.C. Nurse Practitioner 108 Byrd Way, Suite 100, Warner Robins, GA 31088 2014-04-30
1649460080 Tara Patricia Davis Nurse Practitioner 1000 Corporate Pointe Ste 120, Warner Robins, GA 31088-3440 2007-08-01
1588797195 Gail Lanterman Heaberg Nurse Practitioner 105 Scarlett Dr, Warner Robins, GA 31088-2517 2007-03-13
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Competitor

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City WARNER ROBINS
Zip Code 31088

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Dataset Information

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.

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