Active NPIIndividual provider

Jedediah J Holland, FNP-BC

Nurse Practitioner in Boston, Massachusetts

NPI Number1982976775
Practice location
55 Fruit St, Boston, MA 02114-2621
Fax
—
Last updated
March 7, 2024

Jedediah Joel Holland is a Nurse Practitioner based in Boston, MA. Jedediah Joel Holland practices in Boston, MA and has the professional credentials of FNP-BC. The NPI Number for Jedediah Joel Holland is 1982976775 and holds a License No. NPP37676 (RI). The current practice location address for Jedediah Joel Holland is 55 Fruit St, Boston, MA 02114-2621 and can be reached out via phone at 617-726-2000.

Provider Profile Details

NPI Number
1982976775
Provider Name
Jedediah Joel Holland
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Boston, MA 02114-2621
Phone Number
617-726-2000
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
February 8, 2012
Last Update Date
March 7, 2024
Certification Date
March 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Fruit St
Boston, MA 02114-2621
City
Boston
Zip
02114-2621
Phone Number
617-726-2000
Boston, MA 02114Get directions →

Provider Business Mailing Address Details

Address
55 Fruit St
Boston, MA 02114-2621
City
Boston
State
MA
Zip
02114-2621
Phone Number
617-726-2000

License Information

License Number (1)
NPP37676
License State (1)
RI
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
2011012631
License State (2)
MA
Taxonomy (2)
Nurse Practitioner · 363L00000X · 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 Jedediah J Holland, FNP-BC?

The NPI number of Jedediah J Holland, FNP-BC is 1982976775. It was assigned on February 8, 2012 and is currently active in the NPPES registry.

What is the specialty of Jedediah J Holland, FNP-BC?

Jedediah J Holland, FNP-BC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in RI under license number NPP37676.

Where does Jedediah J Holland, FNP-BC practice?

The practice location is 55 Fruit St, Boston, MA 02114-2621. The office can be reached at 617-726-2000 (phone).

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 1982976775 directly on the NPPES registry website.

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