Individual
MIKKI BOOKHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
501 STATE ROUTE 10, LEDGEWOOD, NJ 07852-9667
(973) 584-6751
Mailing address
46 NEWMAN SPRINGS RD E, RED BANK, NJ 07701-1530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15378800
NJ
Other
Enumeration date
06/06/2025
Last updated
09/04/2025
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