Jennifer Ashley Gooch Holmes, FNP-C
Nurse Practitioner, Family in Terre Haute, IN. Individual provider (NPI-1).
NPI number1114574191
StatusActive
Last updated in NPPESAug 23, 2019
Details
- NPI
- 1114574191
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Ashley Gooch Holmes
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2019
- Last updated
- Aug 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71009260A | IN | Yes |
Practice location
110 Crawford StTerre Haute, IN 47807-4614
Phone 812-220-4755
Mailing address
2357 E State Road 48Shelburn, IN 47879-8084
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