Keyonna Monique Holmes, FNP-BC
Nurse Practitioner, Family in Windsor Mill, MD. Individual provider (NPI-1).
NPI number1861027294
StatusActive
Last updated in NPPESMar 5, 2020
Details
- NPI
- 1861027294
- Entity type
- Individual (NPI-1)
- Name
- Keyonna Monique Holmes
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2020
- Certification date
- Mar 5, 2020
- Last updated
- Mar 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R197278 | MD | Yes |
Practice location
7117 Manila AveWindsor Mill, MD 21244-3430
Phone 443-762-0080
Mailing address
7117 Manila AveWindsor Mill, MD 21244-3430
Phone 443-762-0080
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