Individual
MRS. JENNIFER ASHLEY GOOCH HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
110 CRAWFORD ST, TERRE HAUTE, IN 47807-4614
(812) 220-4755
Mailing address
2357 E STATE ROAD 48, SHELBURN, IN 47879-8084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009260A
IN
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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