Holly Jo Hershberger
Nurse Practitioner - Family Medicine
37868 Us Highway 18
Prairie du Chien
, Wisconsin 53821-8416
Holly Jo Hershberger
Nurse Practitioner - Family Medicine
37868 Us Highway 18
Prairie du Chien
, Wisconsin 53821-8416
(608) 357-2254
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Holly Jo Hershberger
- 37868 Us Highway 18
- Prairie Du Chien, WI
- Zip : 53821-8416
- Fax : (608) 357-2254
- Phone : (608) 357-2000
Second Address
- Holly Jo Hershberger
- 37868 Us Highway 18
- Prairie Du Chien, WI
- Zip : 53821-8416
- Fax : (608) 357-2254
- Phone : (608) 357-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 4533-033 | WI |
National Provider Identifier
| NPI | 1003197997 |
|---|---|
| Provider Name | Holly Jo Hershberger |
| First Address | Prairie Du Chien, WI 53821-8416 |
| Second Address | Prairie Du Chien, WI 53821-8416 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2011 |
| Last Update Date | 29/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4533-033 | STATE OF WISCONSIN DEPT OF REGULATION AND LICENSING (01) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.