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Individual

JARED CLARK HOLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
800 E 9TH AVE, TRUTH OR CONSEQUENCES, NM 87901-1954
(575) 894-3221
(575) 894-4999
Mailing address
800 E 9TH AVE, TRUTH OR CONSEQUENCES, NM 87901-1954
(575) 894-3221
(575) 894-4999

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
90721
NM
363LF0000X
Family Nurse Practitioner
Primary
AP60307279
WA

Other

Enumeration date
09/18/2012
Last updated
08/14/2026
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