Holly Jo Paul is a Nurse Practitioner in Detroit, Michigan. Holly Jo Paul practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Holly Jo Paul is 1295786630. The last update date is 2007-11-23.
Holly Jo Paul's current location address is Po Box 67000, Detroit, Michigan. You can contact this provider via phone number 5178416913 and fax number 5178416917. The mailing address for Holly Jo Paul is Po Box 67000, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Jo Paul |
|---|---|
| Address | Po Box 67000, Detroit, Michigan |
| Phone Number | 5178416913 |
| Fax Number | 5178416917 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1295786630 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2007-11-23 |
Provider Mailing Address Detail
| Address | Po Box 67000 |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482672728 |
| Phone Number | 5178416913 |
| Fax Number | 5178416917 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704169647 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00322004 | MI | RR MEDICARE | |
| P00371302 | MI | RR MEDICARE | |
| 4813065 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Holly Jo Paul by the Centers for Medicare & Medicaid Services?
The Holly Jo Paul has been assigned the NPI (National Provider Identifier) 1295786630 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Holly Jo Paul is located?
The Holly Jo Paul is situated at the following address: Po Box 67000, Detroit, MI, 482672728.
What is Holly Jo Paul's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Holly Jo Paul's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Holly Jo Paul receive the assignment of its 1295786630 from the Centers for Medicare & Medicaid Services?
The Holly Jo Paul was issued its 1295786630 by the Centers for Medicare & Medicaid Services on 2006-05-12.
As of what date were the details related to Holly Jo Paul most recently updated or revised?
The information pertaining to Holly Jo Paul, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-23.
NPI Number: 1336113810
Address: 6941 Elaine Dr, Niagara Falls, NY