Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holly Hutcheson, PA

Individual provider Physician Assistant · NPI 1669832150

Holly Hutcheson, PA is a Physician Assistant in Jackson, Mississippi. Qualified in 2015, 11 years ago. Practices with Aspirus Riverview Hospital and Clinics Inc, a 166-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan, Mississippi, New Jersey and New York and 1 more.

Years since qualifying
11
Licensed in
MI, MS, NJ, NY, OH
In the registry since
2016
Specialties on file
5
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-4644
Fax: (601) 200-4645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1250 S Washington St, Van Wert, OH 45891-2551 — (240) 686-2300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00630300 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 024962 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA00282 (MS)
Physician Assistant Taxonomy 363A00000X · Licence 50.004776RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 5601009916 (MI)

Record details

NPI number1669832150
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 26, 2016
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Aspirus Riverview Hospital And Clinics Inc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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