Active NPIIndividual provider

Mikki Bookholt, FNP-BC

Nurse Practitioner, Family in Ledgewood, New Jersey

NPI Number1730073297
Practice location
501 State Route 10, Ledgewood, NJ 07852-9667
Fax
—
Last updated
September 4, 2025

Mikki Bookholt is a Nurse Practitioner, Family based in Ledgewood, NJ. Mikki Bookholt practices in Ledgewood, NJ and has the professional credentials of FNP-BC. The NPI Number for Mikki Bookholt is 1730073297 and holds a License No. 26NJ15378800 (NJ). The current practice location address for Mikki Bookholt is 501 State Route 10, Ledgewood, NJ 07852-9667 and can be reached out via phone at 973-584-6751.

Provider Profile Details

NPI Number
1730073297
Provider Name
Mikki Bookholt
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
501 State Route 10, Ledgewood, NJ 07852-9667
Phone Number
973-584-6751
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Mikki Sebastian (Former Name)
Provider Enumeration Date
June 6, 2025
Last Update Date
September 4, 2025
Certification Date
September 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
501 State Route 10
Ledgewood, NJ 07852-9667
Zip
07852-9667
Phone Number
973-584-6751
Ledgewood, NJ 07852Get directions →

Provider Business Mailing Address Details

Address
46 Newman Springs RD E
Red Bank, NJ 07701-1530
City
Red Bank
State
NJ
Zip
07701-1530

License Information

License Number
26NJ15378800
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Mikki Bookholt, FNP-BC?

The NPI number of Mikki Bookholt, FNP-BC is 1730073297. It was assigned on June 6, 2025 and is currently active in the NPPES registry.

What is the specialty of Mikki Bookholt, FNP-BC?

Mikki Bookholt, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15378800.

Where does Mikki Bookholt, FNP-BC practice?

The practice location is 501 State Route 10, Ledgewood, NJ 07852-9667. The office can be reached at 973-584-6751 (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 1730073297 directly on the NPPES registry website.

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