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General NPI Number Information
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NPI Number | 1609584747
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Entity Type | Individual
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Provider Name | JENNIFER HOLMES MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 850 US-67
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City | ALVARADO
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State | TX
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Zip | 76009
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Country | US
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Telephone | 817-402-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 6630 CALICHE CIR
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-1820
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Country | US
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Telephone | 360-544-2283
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1073872
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1073872
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License Number State | TX
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