Individual
JACQUELINE SUMMER HOLZBAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
12 SAMANTHA LN, HAMILTON, NJ 08619-4312
(609) 815-6653
Mailing address
12 SAMANTHA LN, HAMILTON, NJ 08619-4312
(609) 815-6653
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18821500
NJ
163W00000X
Registered Nurse
RN689119
PA
363L00000X
Nurse Practitioner
Primary
26NJ14939800
NJ
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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