Active NPIIndividual providerSole proprietor

Jennifer D Gonzalez-Holmes

Nurse Practitioner in Orange, Connecticut

NPI Number1265040208
Practice location
400 W Campus Dr, Orange, CT 06477-3646
Fax
—
Last updated
July 22, 2025

Jennifer Del Carmen Gonzalez-Holmes is a Nurse Practitioner based in Orange, CT. Jennifer Del Carmen Gonzalez-Holmes practices in Orange, CT. The NPI Number for Jennifer Del Carmen Gonzalez-Holmes is 1265040208 and holds a License No. 157400 (CT). The current practice location address for Jennifer Del Carmen Gonzalez-Holmes is 400 W Campus Dr, Orange, CT 06477-3646 and can be reached out via phone at 203-785-2389.

Provider Profile Details

NPI Number
1265040208
Provider Name
Jennifer Del Carmen Gonzalez-Holmes
Provider Entity Type
Individual
Gender
Female
Address
400 W Campus Dr, Orange, CT 06477-3646
Phone Number
203-785-2389
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 15, 2020
Last Update Date
July 22, 2025
Certification Date
July 22, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 W Campus Dr
Orange, CT 06477-3646
City
Orange
Zip
06477-3646
Phone Number
203-785-2389
Orange, CT 06477Get directions →

Provider Business Mailing Address Details

Address
400 W Campus Dr
Orange, CT 06477-3646
City
Orange
State
CT
Zip
06477-3646

License Information

License Number (1)
157400
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
009060
License State (2)
CT
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer D Gonzalez-Holmes?

The NPI number of Jennifer D Gonzalez-Holmes is 1265040208. It was assigned on July 15, 2020 and is currently active in the NPPES registry.

What is the specialty of Jennifer D Gonzalez-Holmes?

Jennifer D Gonzalez-Holmes is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 157400.

Where does Jennifer D Gonzalez-Holmes practice?

The practice location is 400 W Campus Dr, Orange, CT 06477-3646. The office can be reached at 203-785-2389 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265040208 directly on the NPPES registry website.

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