Individual
JENNIFER ELYSE HOLDBROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1501 SHORTER AVE SW, ROME, GA 30165-3964
(706) 295-5103
(706) 368-6521
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN245978
GA
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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