Active NPI 1518597079 Individual Practitioner Female Practitioner

Jennifer Suzanne Hollenback , LPN

Licensed Practical Nurse • Harvey, MI

Professional Overview & Biography Verified Profile Summary

Jennifer Hollenback, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Harvey, MI. Practice services are available at 236 CANDACE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

236 Candace Dr

Harvey, MI 498559301

Telephone 9062499492

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Harvey, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Harvey, MI (4550 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-23

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703120314

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 23, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location January 23, 2020

Registered at 236 CANDACE DR, HARVEY, MI 498559301 (Tel: 9062499492)

📍

Updated Business Mailing Address January 23, 2020

Registered at 485 HUSTLER ST, GWINN, MI 498412902 (Tel: 9063614140)

👤

Provider Name / Credentials Updated January 23, 2020

Recorded as JENNIFER HOLLENBACK, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2020

Licensed Practical Nurse (License #4703120314 in MI)

🟢

Initial NPI Registration & Enumeration January 23, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518597079

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 23, 2020

Last Update: January 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

485 Hustler St

Gwinn, MI 498412902

Phone: 9063614140

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.