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MRS. JENNIFER LEANN HOLLY NP
NPI 1639740509
Nurse Practitioner in Jackson, MS

Active since July 01, 2021PECOS EnrolledAccepts Medicare Assignment
2969 CURRAN DR N STE 200, JACKSON, MS 39216(601) 974-5600(601) 974-5699 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2021, Jul 1, 2021 (2 updates tracked since 2021).

About Mrs. Jennifer Leann Holly Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER LEANN HOLLY NP (NPI 1639740509) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (904726) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with S E Lackey Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639740509
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JENNIFER LEANN HOLLYCredential: NP
Location Address2969 CURRAN DR N STE 200Jackson, MS 39216-4121
Mailing Address1227 N State St, Ste 101Jackson, MS 39202-2002 · (601) 355-2485
Phone(601) 974-5600
Fax(601) 974-5699
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 1, 2021
Last NPPES UpdateSeptember 16, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2021
✔ NPI 1639740509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · 904726
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2969 CURRAN DR N STE 200, Jackson, MS 39216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer Leann Holly Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032516927
PECOS Enrollment IDI20210920002069
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

S E Lackey Memorial Hospital

Critical Access Hospitals · Forest, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251300
Location330 N Broad StreetForest, MS 39074 · Scott County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA SLATER AGNP, C
Nurse Practitioner (Adult Health)
2969 CURRAN DR N STE 200
JACKSON, MS 39216
Hinds County (601) 974-5600
JACKSON ONCOLOGY ASSOCIATES,PLLC
Internal Medicine (Hematology & Oncology)
2969 CURRAN DR N STE 200
JACKSON, MS 39216
Hinds County (601) 974-5601
SARAH DANIELLE COCKRELL FNP-C
Nurse Practitioner (Family)
2969 CURRAN DR N STE 200
JACKSON, MS 39216
Hinds County (601) 974-5600
SARAH BALLINGER NPC
Nurse Practitioner (Gerontology)
2969 CURRAN DR N STE 200
JACKSON, MS 39216
Hinds County (601) 974-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Holly's NPI number?

The NPI number for Jennifer Holly is 1639740509. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Where is Jennifer Holly located?

Jennifer Holly practices at 2969 Curran Dr N Ste 200, Jackson, MS 39216. The listed phone number is (601) 974-5600.

What is Jennifer Holly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Holly enrolled in Medicare?

Yes. Jennifer Holly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Holly accept?

Health plans from Blue Cross and Blue Shield of Alabama list Jennifer Holly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jennifer Holly affiliated with any hospitals?

According to CMS data, Jennifer Holly is affiliated with S E Lackey Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Holly was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.