Individual
CAROL JEAN HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
207 CHIPPEWA CT, GIRARD, OH 44420-3617
(330) 307-4494
Mailing address
207 CHIPPEWA CT, GIRARD, OH 44420-3617
(330) 307-4494
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.021571
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104409538
NCC CREDENTIAL
OH
Enumeration date
08/21/2017
Last updated
11/06/2024
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