Provider Demographics
NPI:1720380686
Name:HOLDORF, JENNIFER BROOKE (ND)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:BROOKE
Last Name:HOLDORF
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 E MADISON ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4738
Mailing Address - Country:US
Mailing Address - Phone:206-328-7929
Mailing Address - Fax:206-328-6066
Practice Address - Street 1:2705 E MADISON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4738
Practice Address - Country:US
Practice Address - Phone:206-328-7929
Practice Address - Fax:206-328-6066
Is Sole Proprietor?:No
Enumeration Date:2010-11-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5.000450175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath