Individual
JENNIFER MARIE HOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1202 HIGHWAY 60, SOCORRO, NM 87801-3914
(575) 835-8370
(575) 835-8376
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02741
NM
Other
Enumeration date
08/08/2015
Last updated
04/24/2026
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