Jennifer M Holland
Individual provider Active NPI Personal Care Attendant · Jay, FL
NPI 1982168514 · NPPES record last updated Jan 28, 2019
Key facts
- NPI
- 1982168514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 2707 Bud Diamond Rd
Jay, FL 32565-4846 - Phone
- (850) 398-3961
- NPI assigned
- Jan 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant |
3747P1801X | Yes |
Addresses
Primary practice location
2707 Bud Diamond Rd
Jay, FL 32565-4846
Mailing address
2707 Bud Diamond Rd
Jay, FL 32565-4846
Phone (850) 398-3961
Other practice location 1
2707 Bud Diamond Rd
Jay, FL 32565-4846
Phone (850) 398-3961
Other providers in Jay, FL
- Linda Glenny
- Gregory D Heaton OD PA
- Hayden Hammond
- Gregory D Heaton
- Rhonda L Heflin
- J S Michael Smith MD PA
- Jay Hospital, Inc.
- Jay Hospital, Inc.
- Jay Hospital, Inc.
- Jay Pediatrics PA
All providers in Jay, FL · Personal Care Attendant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.