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Jade Lynn Holley, PAC
Medical Physician Assistant in Moosic, Pennsylvania
NPI 1134421183

Jade Lynn Holley is a Medical Physician Assistant based in Moosic, PA and is specialized in Medical. Jade Lynn Holley practices in Moosic, PA and has the professional credentials of PAC. The NPI Number for Jade Lynn Holley is 1134421183 and holds a License No. MA054639 (Pennsylvania).

The current practice location address for Jade Lynn Holley is 532 Main St, Moosic, PA and can be reached out via phone at 570-471-3569.

Location: 532 Main St, Moosic, PA, 18507-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134421183
Provider Name
Jade Lynn Holley
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
532 Main St, Moosic, PA, 18507-1001
Phone Number
570-471-3569
Fax Number
Provider Enumeration Date
11/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103213688-0001 05 PA
institution
Provider Business Practice Location Address Details
Address
532 Main St
City
Moosic
State
Pennsylvania
Zip
18507-1001
Phone Number
570-471-3569
Fax Number
person
Provider Business Mailing Address Details
Address
532 Main St
City
Moosic
State
Pennsylvania
Zip
18507-1001
Phone Number
570-471-3569
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA054639 (Pennsylvania)
Definition
Definition to come...
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