Provider Demographics
NPI:1023346723
Name:HOLMES, JENNIFER SUSAN (MEDICAL ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:SUSAN
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:SUSAN
Other - Last Name:HOLMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MEDICAL ASSISTANT
Mailing Address - Street 1:8842 DUDLEY ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-4676
Mailing Address - Country:US
Mailing Address - Phone:303-246-4088
Mailing Address - Fax:
Practice Address - Street 1:10065 E HARVARD AVE STE 400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5943
Practice Address - Country:US
Practice Address - Phone:303-614-1492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician