Individual
JODI JEAN HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
(701) 239-3723
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R28763
ND
163WC1500X
Community Health Registered Nurse
R28763
ND
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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