Active NPI
Holly M Wall, NP
- Adult Health Nurse Practitioner
- Voorhees, NJ
National Provider Identifier
1942513684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00296400
- Practice address
- 705 White Horse Rd
Suite D-105
Voorhees, NJ 08043-2468 - Phone
- (856) 435-1777
- Fax
- (856) 435-7291
- NPI assigned
- Jul 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00296400 | NJ | Primary |
Addresses
Primary practice location
705 White Horse Rd
Suite D-105
Voorhees, NJ 08043-2468
Mailing address
705 White Horse Rd
Suite D-105
Voorhees, NJ 08043-2468
Phone (856) 435-1777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1942513684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 WHITE HORSE RD",
"address_2": "SUITE D-105",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432468",
"telephone_number": "856-435-1777",
"fax_number": "856-435-7291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 WHITE HORSE RD",
"address_2": "SUITE D-105",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432468",
"telephone_number": "856-435-1777",
"fax_number": "856-435-7291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "HOLLY",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-23",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00296400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.