Individual
JENNIFER HOLTKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 MADISON ST STE 120, SYRACUSE, NY 13210-2338
(315) 426-3600
(315) 426-3605
Mailing address
101 CLINTON AVE APT 4, CORTLAND, NY 13045-1359
(607) 233-3344
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
605897
NY
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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