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Jaden Holmes

Student in an Organized Health Care Education/Training Program in Lake Worth, FL. Individual provider (NPI-1).

NPI number1982594271
StatusActive
Last updated in NPPESJul 8, 2025

Details

NPI
1982594271
Entity type
Individual (NPI-1)
Name
Jaden Holmes
Sex
Male
Sole proprietor
No
Enumeration date
Jul 8, 2025
Certification date
Jul 8, 2025
Last updated
Jul 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

7168 Copperfield Cir
Lake Worth, FL 33467-7129

Phone 561-573-0321

Mailing address

7168 Copperfield Cir
Lake Worth, FL 33467-7129

Phone 561-573-0321

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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