Individual
JODIE DARLENE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7658 POPLAR PIKE, ADVANCED DERMATOLOGY, GERMANTOWN, TN 38138-3813
(901) 759-2322
(563) 578-3322
Mailing address
5352 AMBASSADOR LN W, APT 203, ARLINGTON, TN 38002-4953
(319) 327-7188
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
26431
TN
364SF0001X
Family Health Clinical Nurse Specialist
A116063
IA
Other
Enumeration date
08/01/2016
Last updated
02/24/2020
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