Individual
JENNIFER R HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R0089104
OK
363LF0000X
Family Nurse Practitioner
2018018411
OK
363LG0600X
Gerontology Nurse Practitioner
2018018404
OK
Other
Enumeration date
09/05/2018
Last updated
05/08/2023
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