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Ms. Kaitlin Jacklene Holcomb, NP-C
Family Nurse Practitioner in Detroit, Michigan
NPI 1902205818

Kaitlin Jacklene Holcomb is a Family Nurse Practitioner based in Detroit, MI and is specialized in Family. Kaitlin Jacklene Holcomb practices in Detroit, MI and has the professional credentials of NP-C. The NPI Number for Kaitlin Jacklene Holcomb is 1902205818 and holds a License No. 209.011658 (Michigan).

The current practice location address for Kaitlin Jacklene Holcomb is 2799 W Grand Blvd, Detroit, MI and can be reached out via phone at 586-615-7769.

Location: 2799 W Grand Blvd, Detroit, MI, 48202-2689
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Provider Profile Details
NPI Number
1902205818
Provider Name
Kaitlin Jacklene Holcomb
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
2799 W Grand Blvd, Detroit, MI, 48202-2689
Phone Number
586-615-7769
Fax Number
Provider Enumeration Date
08/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1902205818 05 MI
4704285017 01 MI RN AND APN LICENSE
institution
Provider Business Practice Location Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
586-615-7769
Fax Number
person
Provider Business Mailing Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
586-615-7769
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.011658 (Illinois)
Definition
Definition to come...
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