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NPI Code Detail

MEDICARE: MS. JENNIFER LYNN HOLCOMB NP

MEDICARE: MS. JENNIFER LYNN HOLCOMB NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner127784CO
2367A00000XAdvanced Practice MidwifeAPN.3334-NPCO

General Provider Information

NPI Number : 1033114129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER LYNN HOLCOMB NP
Provider Business Mailing Address
First Line : 2352 MEADOWS BLVD STE 300
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80109-8419
Country : US
Telephone Number : 720-330-1460
Fax Number : 780-703-9028
Provider Business Practice Location Address
First Line : 2352 MEADOWS BLVD STE 300
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80109-8419
Country : US
Telephone Number : 720-330-1460
Fax Number : 780-703-9028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/29/2025

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