Individual provider · Type 1 NPI

Jennifer Leann Holly, NP

Nurse Practitioner · Jackson, MS

NPI number 1639740509 Active

Practice location

2969 Curran Dr N Ste 200
Jackson, MS 39216-4121

Fax (601) 974-5699

Mailing address

1227 N State St, Ste 101
Jackson, MS 39202-2002

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X904726 (MS)

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 1639740509

Jennifer Leann Holly, NP's National Provider Identifier is 1639740509, issued on Jul 1, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Sep 16, 2021.