Individual
REBECCA MAE HOLBROOK-WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
424 JETT DR, JACKSON, KY 41339
(606) 666-6600
(606) 693-0534
Mailing address
424 JETT DR, JACKSON, KY 41339-9621
(606) 666-6602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011220
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3011220
APRN LICENSE NUMBER
KY
Enumeration date
03/23/2017
Last updated
08/24/2018
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