Individual
JESSICA BENITEZ HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
Mailing address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R44631
ND
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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