Individual provider · Type 1 NPI

Jessica Calista Holly, NP

Nurse Practitioner · Joplin, MO

NPI number 1073243226 Active

Practice location

1331 W 32nd St
Joplin, MO 64804-1601

Mailing address

PO Box 3810
Joplin, MO 64803-3810

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2023020564 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073243226

Jessica Calista Holly, NP's National Provider Identifier is 1073243226, issued on Jun 12, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Joplin, MO. The record was last updated on Jul 17, 2023.