Jennifer Elyse Holdbrooks, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN245978 Issued in GA

Practice address

1501 Shorter Ave SW
Rome, GA 30165-3964

Phone

(706) 295-5103

Fax

(706) 368-6521

NPI assigned

Sep 18, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1457835340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE STE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613210",
            "telephone_number": "706-509-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SHORTER AVE SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301653964",
            "telephone_number": "706-295-5103",
            "fax_number": "706-368-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDBROOKS",
        "first_name": "JENNIFER",
        "middle_name": "ELYSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN245978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison B Holbert, MS, CCC-SLP
• Ladonna Leigh Holcomb, NP-C
• Chandler Holcombe, PA-C
• Michael Paul Holcombe, M.D.
• Robert H Holcombe, M.D.
• Ayanna Holguin
• Ashley Ann Holloway, NP-C
• Douglas Lynn Holstein, CRNA
• Eleanor Earley Holstein, CRNA
• Jessica J Holt, PT, DPT

• Pediatric Nurse Practitioner in Rome, GA
• Providers in Rome, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.