Provider Demographics
NPI:1629313200
Name:HOLMES, BARBARA JO (FNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JO
Last Name:HOLMES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18015 OAK ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-6097
Mailing Address - Country:US
Mailing Address - Phone:402-991-1975
Mailing Address - Fax:402-991-1974
Practice Address - Street 1:18015 OAK ST
Practice Address - Street 2:SUITE B
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-6097
Practice Address - Country:US
Practice Address - Phone:402-991-1975
Practice Address - Fax:402-991-1974
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111446363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily