Holland, Theresa Clare

Holland, Theresa Clare is an individual health care provider with primary practice located at 3118 E 10Th St Suite B, Jeffersonville IN 47130-5904. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Holland, Theresa Clare can be contacted via phone (812) 282-6979.

Contact Information

Primary practice address
3118 E 10Th St Suite B Jeffersonville IN 47130-5904
Phone: (812) 282-6979
Fax: (812) 282-6998
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28108443A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71004116 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004116 Indiana

Profile Details

NPI number 1578812160
LBN Legal business name Holland, Theresa Clare
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Jul 25th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578812160 NPPES
Indiana MEDICAID 201121090

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