Holt, Jeana Marie

Holt, Jeana Marie is an individual health care provider with primary practice located at 12060 W Whitaker Ave , Greenfield WI 53228-2474. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Holt, Jeana Marie can be contacted via phone (414) 545-0901.

Contact Information

Primary practice address
12060 W Whitaker Ave Greenfield WI 53228-2474
Phone: (414) 545-0901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 127716-030 Wisconsin

Profile Details

NPI number 1215045109
LBN Legal business name Holt, Jeana Marie
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Apr 4th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215045109 NPPES
Wisconsin Other 127716-030 NURSING STATE LICENSE NUM

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