| Doctor Name: | MRS. HOLLY JO MASSEY |
| NPI Number: | 1306031604 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN563639 |
| Business Practice Address: | 4th & Inner Loop Fort Irwin, CA - 923105109 |
| Business Phone Number: | 7603803189 |
| Business Fax Number: | |
| Mailing Address: | 4th & Inner Loop, FORT IRWIN |
| State: | CA |
| Postal Code: | 923105109 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2007 |
| NPI Last Update Date: | 09/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WX0003X |
| License Number: | RN563639 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Obstetric, Inpatient |
| Taxonomy Definition: | |