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General NPI Number Information
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NPI Number | 1063076388
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Entity Type | Individual
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Provider Name | HEATHER JASMINE HOLTON APRN
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Gender | Female
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 613 23RD ST STE 510
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City | ASHLAND
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State | KY
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Zip | 41101-2878
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Country | US
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Telephone | 606-329-9335
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Fax | 606-324-6383
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Provider Business Mailing Address
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Address Line | PO BOX 4190
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-4190
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Country | US
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Telephone | 304-399-4405
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Fax | 304-399-2526
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 102705
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4047875
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License Number State | KY
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