JENNIFER HOLLADAY (FNP-C) – Family Nurse Practitioner, NPI 1114422300

Family Nurse Practitioner

JENNIFER HOLLADAY (FNP-C) is a healthcare provider. based in Lebanon, Indiana. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. 71007838A (IN). The NPI Number for JENNIFER HOLLADAY (FNP-C) is 1114422300

Main info

Female

9 Years Of Experience

Accepts Medicare Assignment

Name

JENNIFER HOLLADAY (FNP-C)

NPI

1114422300

Phone

(765) 482-3630

Address

207 S LEBANON ST

Enumeration Date

28 March 2018

Last Update Date

29 October 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8663892727

Graduation Year

2017 (9 years ago)

PAC ID

7214360387

Group Practice PAC ID

3072548502

Professional Enrollment ID

I20191203001847

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience30

Completeness75

Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for JENNIFER HOLLADAY (FNP-C)

207, South Lebanon Street, Lebanon, Boone County, Indiana, 46052, United States
LEBANON, IN 460522544
Phone: (765) 482-3630
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46052)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 3072548502View full group profile

Name	Specialty	State
MRS. NORA CAMILLE WILCOX (FNP)	Nurse Practitioner	IN
KAYLA NOELLE BUTLER (MSN, APRN, FNP-C)	Nurse Practitioner	AL
GAYLE DOLL (FNP)	-	IN
ROXANNE BIELAK (NP)	Nurse Practitioner	RI
CALEB D SCHMITT (FNP)	Nurse Practitioner	IN
IRENE TORRES (NP)	-	IN
SARA DIANN RIDLEN (FNP-C)	Nurse Practitioner	IN
ANGELA M VANDERBERG (FNP-BC, PMHNP-C)	-	IN
DR. OBIAGELI IMMACULATA ESOTU (MD)	-	IL
ALLISON NICOLE SHILEY (FNP-C)	-	IN