Holt, Jennifer A

Holt, Jennifer A is an individual health care provider with primary practice located at 3745 Geist Rd , Fairbanks AK 99709-3554. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Holt, Jennifer A can be contacted via phone (907) 456-3338.

Contact Information

Primary practice address
3745 Geist Rd Fairbanks AK 99709-3554
Phone: (907) 456-3338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 150000 Alaska

Profile Details

NPI number 1801054879
LBN Legal business name Holt, Jennifer A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2008
Last updated Nov 19th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801054879 NPPES
Oregon MEDICAID 500605570

Popular Providers