Individual
JACOB HOLLENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-4000
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
231737
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
5421
NC
Other
Enumeration date
03/22/2016
Last updated
12/29/2020
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