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MS. JESSICA RENEE HOLMAN FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1336659515

Individual Registrant:
MS. JESSICA RENEE HOLMAN FNP-C
Gender: F
Sole Proprietor

Location and contact information for practice:
1755 ROADRUNNER LN  CHINO VALLEY, AZ 86323-7105 US
Tel: 928-848-7553  Fax: --

Contact information for business:
1755 ROADRUNNER LN  CHINO VALLEY, AZ 86323-7105 US
Tel: 928-848-7553  Fax: --

Registration Information:
NPI: 1336659515
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AZAP10658

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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