JEAN L. HOLLEY MD
NPI 1649349259
Internal Medicine - Nephrology in Urbana, IL

Active since November 07, 2006
611 W. PARK ST., NEPHROLOGY, URBANA, IL 61801(217) 383-3605(217) 383-2704 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jean L. Holley Md NPPES

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

JEAN L. HOLLEY MD (NPI 1649349259) is an individual nephrology provider in Urbana, Illinois, licensed in Illinois (03606251) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1649349259
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameJEAN L. HOLLEYCredential: MD
Location Address611 W. PARK ST., NEPHROLOGYUrbana, IL 61801-2500
Mailing Address611 W. Park St., BwpcUrbana, IL 61801-2500 · (217) 383-6792
Fax(217) 383-2704
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateOctober 8, 2015
NPI 1649349259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in IL · 03606251 Licensed in VA · 0101231892
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
611 W. PARK ST., Urbana, IL 61801

Other Identifiers 5

Medicare PINIL3270023IL
Medicare UPINA72487VA
Medicare UPINA72487
Medicaid005865051VA
Medicare NSC6447860011IL

Other Providers at the Same Location NPPES 20

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

Internal Medicine
611 W. PARK ST., HOSPITALIST
URBANA, IL 61801
Occupational Therapist
611 W. PARK ST.
URBANA, IL 61801
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Nurse Anesthetist, Certified Registered
611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801
Internal Medicine (Clinical Cardiac Electrophysiology)
611 W. PARK ST., CARDIOLOGY
URBANA, IL 61801
Obstetrics & Gynecology
611 W. PARK ST., OB/GYN
URBANA, IL 61801
Physician Assistant
611 W. PARK ST.
URBANA, IL 61801
Physician Assistant
611 W. PARK ST., OB/GYN
URBANA, IL 61801

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 Jean Holley's NPI number?

The NPI number for Jean Holley is 1649349259. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Jean Holley located?

Jean Holley practices at 611 W. Park St. Nephrology, Urbana, IL 61801. The listed phone number is (217) 383-3605.

What is Jean Holley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Jean Holley was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.