Individual
JENNIFER HELMHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
200 HEALTH CARE DR, GREENVILLE, IL 62246-1154
(618) 664-1230
Mailing address
1216 SIMEON DR, BELLEVILLE, IL 62221-3548
(618) 250-0690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041374967
IL
363L00000X
Nurse Practitioner
Primary
209017993
IL
Other
Enumeration date
08/07/2018
Last updated
05/10/2019
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