Holland, Enja O
Holland, Enja O is an individual health care provider with primary practice located at 27A Medical Center Dr , Jackson TN 38301-3949. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Holland, Enja O can be contacted via phone (731) 424-5080.Contact Information
Primary practice address
27A Medical Center Dr
Jackson TN 38301-3949
Phone: (731) 424-5080
Fax: (731) 424-4109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 14431 | Tennessee |
Profile Details
| NPI number | 1720317191 |
|---|---|
| LBN Legal business name | Holland, Enja O |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2009 |
| Last updated | Dec 20th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720317191 | NPPES |
| Tennessee | Other | 119490 | RN LICENSE |
| Tennessee | Other | 14431 | RN LICENSE |
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