HOLLY NOELLE ANDERSON


Address: 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-4230
Phone: 9043991623

HOLLY NOELLE ANDERSON (NPI# 1770020232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770020232
Entity Type Individual
Full Name HOLLY NOELLE ANDERSON
Credential PA-C
Practice Address 3627 University Blvd S
Suite 615
Jacksonville
FL 32216-4230
Mailing Address 3627 University Blvd S
Ste 615
Jacksonville
FL 32216-7401
Practice Telephone 9043991623
Practice Fax Number 9043991624
Mailing Telephone 8436556748
Enumeration Date 2017-01-23
Last Update Date 2018-09-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9109997 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers HOLLY ANDERSON

NPI Name Taxonomy Address Enumeration
1841725504 Holly Anderson Case Manager/Care Coordinator 1 E 22nd St, Suite 310, Lombard, IL 60148-6159 2017-05-01
1912249483 Holly Anderson Speech-Language Pathologist 112 South Elliot Street, Wenatchee, WA 98801 2013-03-22
1922230531 Holly Danielle Anderson Marriage & Family Therapist 322 Houston St Ste 107, Manhattan, KS 66502-6497 2009-08-14
1922264951 Holly Elisabeth Anderson Acupuncturist 605 Chenery St Ste C, San Francisco, CA 94131-3033 2008-07-29
1730252016 Holly Marie Anderson Nurse Practitioner 128 E Milltown Rd Ste 209, Wooster, OH 44691-1276 2006-11-16
1174605182 Holly B. Anderson Chiropractor 834 Ohio Pike, Suite 306, Cincinnati, OH 45245-2250 2006-10-19
1972110567 Holly H Anderson Behavior Technician 2940 N Church St Ste 204, Layton, UT 84040-6616 2020-09-28
1134776586 Holly Anderson Dietitian, Registered 1850 Bitterroot Dr, Twin Falls, ID 83301-3513 2019-08-21
1972060309 Holly Elizabeth Anderson Dietitian, Registered 1100 N 35th St, Seattle, WA 98103-8906 2019-02-21
1942720644 Holly Michelle Anderson Student in an Organized Health Care Education/Training Program 148 Warren St, Lowell, MA 01852-2208 2017-06-23

Office Location

Street Address 3627 UNIVERSITY BLVD S
SUITE 615
City JACKSONVILLE
State FL
Zip Code 32216-4230

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124024310 Eugene Rawson Griffin IIi Family Medicine 3627 University Blvd S, Ste 615, Jacksonville, FL 32216-7401 2005-06-22
1629510599 Jennifer Sally Waldon Physician Assistant 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-4230 2016-11-09
1922550474 Digestive Disease Consultants Internal Medicine 3627 University Blvd S, Ste 430, Jacksonville, FL 32216-4230 2016-11-01
1235688359 Megan Messer Physician Assistant 3627 University Blvd S, Suite 430, Jacksonville, FL 32216-4230 2016-09-30
1649632951 Memorial Family Practice, LLC Psychiatric Hospital 3627 University Blvd S, Suite 235, Jacksonville, FL 32216-4230 2016-03-25
1215309539 Payal Gohari Pharmacist 3627 University Blvd S, Suite 120, Jacksonville, FL 32216-4230 2015-10-26
1588033419 Hayley Gant Patridge Physician Assistant 3627 University Blvd S, Suite 500, Jacksonville, FL 32216-4230 2015-09-22
1821495540 Hillary Patton Nurse Practitioner 3627 University Blvd S, Jacksonville, FL 32216-4230 2014-11-24
1083059315 Amy Lee Deichert Speech-Language Pathologist 3627 University Blvd S, Suite 210, Jacksonville, FL 32216-4230 2013-04-30
1376896522 Physicians Group Services Pa Orthopaedic Surgery 3627 University Blvd S, Suite 435, Jacksonville, FL 32216-4230 2012-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
1245830314 Jonathan V Korah Physician Assistant 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 2020-10-28
1255931473 Rachel Gavrielle Stahly Physician Assistant 11438 Emuness Rd, Jacksonville, FL 32218-4050 2020-10-27
1760099071 Laura Alexandra Ramos-heckman Physician Assistant 2014 Capistrano Dr, Jacksonville, FL 32224-3091 2020-09-30
1184230583 Julian Clouse Physician Assistant 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 2020-09-21
1962016717 Stephanie Benton Gentry Physician Assistant 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 2020-08-31
1629689435 Monarch Mental Health Association Physician Assistant 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 2020-08-14
1235749425 Nicole Lhommedieu Physician Assistant 3850 Marnie Pl, Jacksonville, FL 32223-3541 2020-08-03
1861002123 Naw-am Acio Daniels Physician Assistant 7467 Volley Dr N, Jacksonville, FL 32277-9368 2020-08-03
1750906640 Veronica Adriana Dediego Physician Assistant 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 2020-06-16
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Competitor

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City JACKSONVILLE
Zip Code 32216

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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