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Individual

JILL NADINE HOLBROOK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
6620 E CARONDELET DR, TUCSON, AZ 85710-2119
(520) 296-3240
(520) 296-3249
Mailing address
5981 W BRIDLE WAY, TUCSON, AZ 85743-9507
(520) 744-1926

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN028554
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
504854
ANCCCS
AZ
Enumeration date
01/17/2006
Last updated
07/08/2007
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