Individual
JAMIE A HOLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2265 W ALTORFER DR, PEORIA, IL 61615-1807
(309) 683-7700
Mailing address
2265 W ALTORFER DR, PEORIA, IL 61615-1807
(309) 683-7700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-014664
IL
Other
Enumeration date
08/04/2016
Last updated
05/23/2018
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