Provider Demographics
NPI:1346392628
Name:HOLMES, JENNIFER (MS)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 HUNTERS CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-2245
Mailing Address - Country:US
Mailing Address - Phone:281-437-0622
Mailing Address - Fax:
Practice Address - Street 1:1810 HUNTERS CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2245
Practice Address - Country:US
Practice Address - Phone:281-437-0622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health