Provider Demographics
NPI:1922561695
Name:HOLDREN, AMY JO (NP-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:JO
Last Name:HOLDREN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:JO
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:215 HENDRICKS ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OH
Mailing Address - Zip Code:45768-9761
Mailing Address - Country:US
Mailing Address - Phone:740-236-2810
Mailing Address - Fax:
Practice Address - Street 1:300 E 8TH ST STE 120
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3379
Practice Address - Country:US
Practice Address - Phone:740-374-7427
Practice Address - Fax:740-376-5098
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH024520363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily