Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Johnson Holley, PA-C

Individual provider Physician Assistant · NPI 1477032498

Jennifer Johnson Holley, PA-C is a Physician Assistant in Smithfield, North Carolina. Qualified in 2018, 8 years ago. Practices with Johnston County, a 19-clinician group.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

517 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone: (919) 989-5200
Fax: (833) 438-6949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1477032498
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 9, 2018
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Johnston County — 19 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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