Provider Demographics
NPI:1508915927
Name:KIRBY, JESSICA HOLLAND (RN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:HOLLAND
Last Name:KIRBY
Suffix:
Gender:F
Credentials:RN, FNP
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Mailing Address - Street 1:165 SHERMAN DR
Mailing Address - Street 2:
Mailing Address - City:ST JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819-9811
Mailing Address - Country:US
Mailing Address - Phone:802-748-9405
Mailing Address - Fax:802-748-4540
Practice Address - Street 1:137 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-4415
Practice Address - Country:US
Practice Address - Phone:802-995-2412
Practice Address - Fax:802-334-7991
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2023-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VT101.0135260363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily