Provider Demographics
NPI:1639132988
Name:HOLCOMB, JENNIFER YASMEEN (ATC/L)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:YASMEEN
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865 BELLEVUE RD
Mailing Address - Street 2:APT A2
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2743
Mailing Address - Country:US
Mailing Address - Phone:615-406-5346
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL CENTER EAST
Practice Address - Street 2:SOUTH TOWER SUITE 3200
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-343-3893
Practice Address - Fax:615-835-5273
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9962255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer