Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 0024181879 | VA |
NPI | 1033876990 |
---|---|
Provider Name | Dr. Jamie A Holland |
First Address | Virginia Beach, VA 23451-1129 |
Second Address | Virginia Beach, VA 23451-1129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2021 |
Last Update Date | 03/02/2022 |