Individual
JENNIFER LEE NASH HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
WFSM DEPARTMENT OF PEDIATRICS, MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-1081
(336) 716-4663
Mailing address
WFSM DEPARTMENT OF PEDIATRICS, MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157-1081
(336) 716-4663
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2013-01093
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2010
Last updated
06/22/2016
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