Individual
JUSTINA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1892 UPPER EAST VALLEY RD, PIKEVILLE, TN 37367-3818
(423) 618-8168
Mailing address
1892 UPPER EAST VALLEY RD, PIKEVILLE, TN 37367-3818
(423) 618-8168
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
162189
TN
163WG0000X
General Practice Registered Nurse
Primary
162189
TN
163WW0000X
Wound Care Registered Nurse
162189
TN
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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