Individual
JANA HOLCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 COLUMBUS RD, ATHENS, OH 45701-1334
(740) 592-6720
Mailing address
PO BOX 724, ATHENS, OH 45701-0724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
330354
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314525
—
OH
05
—
2864002
—
OH
Enumeration date
05/28/2019
Last updated
05/28/2019
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