Individual
MS. JEANNE E. HOLDREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
929 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-2191
(618) 662-2292
Mailing address
929 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-2191
(618) 662-2292
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209011258
IL
Other
Enumeration date
08/19/2006
Last updated
06/21/2016
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