Organization Name: | JANET HOLLEY, CRNP PC |
NPI Number: | 1598079600 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET L HOLLEY (MANAGER) |
Mailing Address: | 42030 Highway 195 Suite D Haleyville |
State: | AL US |
Postal Code: | 355657054 |
Phone Number: | 2054862743 |
Fax Number: | 2054864343 |
NPI Enumeration Date: | 07/30/2010 |
NPI Last Update Date: | 12/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-069794 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |