ENJA O HOLLAND

WEST TENNESSEE MEDICAL GROUP, INC

Dr ENJA O HOLLAND is a female medical professional, specializing in Nurse Practitioner. She graduated in 1998.

Contact

WEST TENNESSEE MEDICAL GROUP, INC

620 SKYLINE DR
JACKSON
TN
383013923

Tel: 7315415000

ENJA O HOLLAND Information

Npi 1720317191
Pac Id 0840321766
Professional Enrollment Id I20100621000890
Last Name HOLLAND
First Name ENJA
Middle Name O
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1998
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WEST TENNESSEE MEDICAL GROUP, INC
Group Practice Pac Id 3971781006
Number Of Group Practice Members 112
Line 1 Street Address 620 SKYLINE DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JACKSON
State TN
Zip Code 383013923
Phone Number 7315415000
Hospital Affiliation Ccn 1 440002
Hospital Affiliation Lbn 1 JACKSON-MADISON COUNTY GENERAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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