Ms Jennifer Suzanne Hollenback, LPN is a
Licensed Practical Nurse based in Harvey, Michigan. Ms Jennifer Suzanne Hollenback is licensed to practice in Michigan (license number 4703120314) and her current practice location is
236 Candace Dr, Harvey, Michigan. She can be reached at her office (for appointments etc.) via phone at
(906) 249-9492.
NPI number for Ms Jennifer Suzanne Hollenback is 1518597079 and her current mailing address is 485 Hustler St, Gwinn, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518597079.
Provider's Profile
Full Name | Ms Jennifer Suzanne Hollenback |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 236 Candace Dr, Harvey, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518597079
- Provider Enumeration Date: 01/23/2020
- Last Update Date: 01/23/2020
Medical Identifiers
Medical identifiers for Ms Jennifer Suzanne Hollenback such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518597079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703120314 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jennifer Suzanne Hollenback is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Jennifer Suzanne Hollenback, LPN 485 Hustler St, Gwinn, MI 49841-2902 Ph: (906) 361-4140 | Ms Jennifer Suzanne Hollenback, LPN 236 Candace Dr, Harvey, MI 49855-9301 Ph: (906) 249-9492 |
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