Holt, Jeana Marie
Holt, Jeana Marie is an individual health care provider with primary practice located at 12060 W Whitaker Ave , Greenfield WI 53228-2474. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Holt, Jeana Marie can be contacted via phone (414) 545-0901.Contact Information
Primary practice address
12060 W Whitaker Ave
Greenfield WI 53228-2474
Phone: (414) 545-0901
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 127716-030 | Wisconsin |
Profile Details
| NPI number | 1215045109 |
|---|---|
| LBN Legal business name | Holt, Jeana Marie |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Apr 4th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215045109 | NPPES |
| Wisconsin | Other | 127716-030 | NURSING STATE LICENSE NUM |
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