Provider Demographics
NPI:1750662243
Name:HOLLINGER, JESSICA LEIGH (RPA-C)
Entity Type:Individual
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First Name:JESSICA
Middle Name:LEIGH
Last Name:HOLLINGER
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Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:INPATIENT ONCOLOGY PA SERVICE- BOX #325
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-7576
Mailing Address - Fax:646-962-0115
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:INPATIENT ONCOLOGY PA SERVICE- BOX #325
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-7576
Practice Address - Fax:646-962-0115
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2011-09-14
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Provider Licenses
StateLicense IDTaxonomies
NY015007-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant