Jennifer Leann Holly, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

904726 Issued in MS

Practice address

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

Phone

(601) 974-5600

Fax

(601) 974-5699

NPI assigned

Jul 1, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson Oncology AssociatesGroup PAC ID 2860392735, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jackson Oncology Associates

  • Hematology & Oncology Physician
  • Jackson, MS
  • NPI 1295776136
  Medicare reassignment Care Compare group NPD
• Jackson Oncology Associates

  • Community/Retail Pharmacy
  • Jackson, MS
  • NPI 1780192690
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1639740509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 N STATE ST",
            "address_2": "STE 101",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022002",
            "telephone_number": "601-355-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2969 CURRAN DR N STE 200",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164121",
            "telephone_number": "601-974-5600",
            "fax_number": "601-974-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLY",
        "first_name": "JENNIFER",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidere Hollins, LPC-S
• Jacquelynn Hollins
• Patricia Hollins
• Carolyn Holloway
• Santana Holloway
• Tyler Elliott Holm
• Kristel Britt Holmblad, MD, MPH
• Holmes Inc
• Claire Elizabeth Holmes
• Klaria Holmes, MS

• Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.