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Contact Information

JENNIFER HOLM
1230 E MAIN ST
MANKATO, MN56001
 Phone: 507-389-8502
 Fax: 507-625-3928
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JENNIFER HOLM · (Female)

NPI # 1265881841
Status Active
Credentials
Entity Individual
Enumeration date 06/06/2016
Last updated 06/04/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # CNP 4581
  • MN License # CNP4581
Hospital affiliation(s)
  • GLENCOE REGIONAL HEALTH SERVICES - (Critical Access)
    1805 HENNEPIN AVENUE NORTH
    GLENCOE, MN 55336
  • RIVER'S EDGE HOSPITAL & CLINIC - (Critical Access)
    1900 NORTH SUNRISE DRIVE
    ST PETER, MN 56082
  • ST FRANCIS REGIONAL MEDICAL CENTER - (Acute Care)
    1455 ST FRANCIS AVENUE
    SHAKOPEE, MN 55379
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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