Individual
JERI L HOLWEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4128 FORT HENRY DR # D-226, KINGSPORT, TN 37663-2260
(423) 426-2122
Mailing address
4128 FORT HENRY DR # D-226, KINGSPORT, TN 37663-2260
(423) 426-2122
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10511
TN
Other
Enumeration date
09/07/2005
Last updated
07/13/2007
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