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

Jack Holland, CRNA

Individual provider Registered Nurse · NPI 1699755231

Jack Holland, CRNA is a Registered Nurse in Heber City, Utah. Works from 2 locations. Licensed in North Carolina, Nevada and Utah.

Licensed in
NC, NV, UT
In the registry since
2006
Specialties on file
4
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Partly verified

Some contact details are missing from the federal record.

Heber Valley Hospital 1485 US-40
Heber City, UT 84032
Phone: (435) 654-2500
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Additional practice locations (1)

  • 8th Avenue C Street, Salt Lake City, UT 84143-0001 — (801) 727-2056

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 9809402-4406 (UT)
Registered Nurse Taxonomy 163W00000X · Licence 161328 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 821399 (NV)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 053081 (NC)

Record details

NPI number1699755231
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 19, 2006
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021
Mailing address6127 Kingsford Ave, Park City, UT 84098-6317

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