NPI 1134421183

Jade Lynn Holley, PAC

Practitioner Medical Physician Assistant Moosic, PA

Practice location

Address: 532 Main St Suite 1, Moosic, PA 18507-1001
Phone: (570) 471-3569

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence MA054639 (PA)

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Registry record

NPI: 1134421183
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Nov 2010
Record last updated: 3 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.