Active NPIIndividual providerSole proprietor

Ms. Mary Jo Holland, CFNP

Nurse Practitioner, Family in Medford, Massachusetts

NPI Number1437362084
Practice location
124 Professors Row, Medford, MA 02155-5816
Fax
617-627-3592
Last updated
July 8, 2007

Mary Jo Holland is a Nurse Practitioner, Family based in Medford, MA. Mary Jo Holland practices in Medford, MA and has the professional credentials of CFNP. The NPI Number for Mary Jo Holland is 1437362084 and holds a License No. 101278 (MA). The current practice location address for Mary Jo Holland is 124 Professors Row, Medford, MA 02155-5816 and can be reached out via phone at 617-627-3350 and via fax at 617-627-3592.

Provider Profile Details

NPI Number
1437362084
Provider Name
Mary Jo Holland
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
124 Professors Row, Medford, MA 02155-5816
Phone Number
617-627-3350
Fax Number
617-627-3592
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
May 8, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
124 Professors Row
Medford, MA 02155-5816
Zip
02155-5816
Phone Number
617-627-3350
Fax Number
617-627-3592
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
124 Professors Row
Medford, MA 02155-5816
City
Medford
State
MA
Zip
02155-5816
Phone Number
617-627-3350
Fax Number
617-627-3592

License Information

License Number
101278
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Mary Jo Holland, CFNP?

The NPI number of Ms. Mary Jo Holland, CFNP is 1437362084. It was assigned on May 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Mary Jo Holland, CFNP?

Ms. Mary Jo Holland, CFNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 101278.

Where does Ms. Mary Jo Holland, CFNP practice?

The practice location is 124 Professors Row, Medford, MA 02155-5816. The office can be reached at 617-627-3350 (phone) or 617-627-3592 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437362084 directly on the NPPES registry website.

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