Jackson, Holly

Jackson, Holly is an individual health care provider with primary practice located at 1109 Jones St , Kennett MO 63857-3824. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Jackson, Holly can be contacted via phone (573) 359-2600.

Contact Information

Primary practice address
1109 Jones St Kennett MO 63857-3824
Phone: (573) 359-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 2014030506 Missouri

Profile Details

NPI number 1427597301
LBN Legal business name Jackson, Holly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2017
Last updated Feb 13th, 2017 - about 7 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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