MRS. JENNIFER S HOLLENBECK NP NPI 1336510411

NPI Information

  • NPI: 1336510411
  • Provider Name: MRS. JENNIFER S HOLLENBECK, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1019 E WATER ST
    ELMIRA, NY
    ZIP 14901
  • Phone: (607) 733-7661

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NPI Details

MRS. Jennifer S Hollenbeck, NP is a psychiatric/mental health nurse practitioner in Elmira, NY with 2 years of experience. MRS. Jennifer S Hollenbeck, NP NPI is 1336510411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1019 E WATER ST
ELMIRA, NY
ZIP 14901-332
Phone: (607) 733-7661

The NPI 1336510411 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/14/2015 and was last updated on 1/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse706758-01NEW YORKNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health404967NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116-1039939MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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