MRS. JEANETTE M HOLLADAY


Address: 375 N Main St Ste 105, Kaysville, UT 84037-1199
Phone: 8012164130

MRS. JEANETTE M HOLLADAY (NPI# 1932715380) 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) 1932715380
Entity Type Individual
Full Name MRS. JEANETTE M HOLLADAY
Credential APRN-FNP
Practice Address 375 N Main St Ste 105
Kaysville
UT 84037-1199
Mailing Address 184 N Eden Brook Way
Saratoga Springs
UT 84045-5202
Practice Telephone 8012164130
Mailing Telephone 8016999530
Enumeration Date 2020-09-21
Last Update Date 2020-09-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
5138434-4405 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 375 N MAIN ST STE 105
City KAYSVILLE
State UT
Zip Code 84037-1199

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1508195744 Jacqueline S Silkey Dermatology 192 S. Main St, Kaysville, UT 84037 2009-12-17
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

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1992310593 Just The Right Age Family Medicine 7535 S Union Park Ave, Midvale, UT 84047-3043 2020-09-10
1750914446 Nick Blaine Layton Family Medicine 941 E 3300 S, Millcreek, UT 84106-2100 2020-02-20
1164061370 Oak Hill Medical Group LLC Family Medicine 6781 N 2100 E, Liberty, UT 84310-4701 2020-01-06
1811262280 Terrance Stephen Drake Family Medicine 5563 Coventry Rd, Highland, UT 84003-3473 2012-03-18
1629393509 Rox Charles Burkett Family Medicine 1392 N Sunridge Cir, Washington, UT 84780-2397 2010-04-02
1598096083 Wasatch Physical Therapy & Rehabilitation, Inc Family Medicine 823 E 400 S, Salt Lake City, UT 84102-2903 2010-01-22
1063492304 Gary L Child Family Medicine 945 W 3200 N, Lehi, UT 84043-9771 2006-01-20
1013527399 Heber Valley Internal Medicine Family Medicine 380 E 1500 S Ste 201, Heber City, UT 84032-3942 2020-08-03
1801127345 Wasatch Physical Therapy & Rehabilitation, Inc Family Medicine 3920 S 1100 E Ste 115, Millcreek, UT 84124 2010-01-22
1437488319 Utah Valley Urgent Care Pllc Family Medicine 127 E Main St, E, Lehi, UT 84043-2288 2009-12-23
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Competitor

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City KAYSVILLE
Zip Code 84037

Improve Information

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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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