Individual
MRS. JESSICA ELIZABETH HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1814 BEL AIR RD STE 300, FALLSTON, MD 21047-2730
(410) 694-7411
(410) 694-7410
Mailing address
1814 BEL AIR RD STE 300, FALLSTON, MD 21047-2730
(410) 694-7411
(410) 684-7410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R178339
MD
363LF0000X
Family Nurse Practitioner
R178339
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R178339
MD
Other
Enumeration date
10/21/2014
Last updated
12/20/2021
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