Jared Clark Holman, ARNP | |
5219 W Clearwater Ave, Suite 6, Kennewick, WA 99336-1914 | |
(509) 783-4454 | |
Not Available |
Full Name | Jared Clark Holman |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 5219 W Clearwater Ave, Kennewick, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922358886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP60307279 (Washington) | Primary |
Entity Name | Multicare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Entity Name | Dispatchhealth Washington Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013490507 PECOS PAC ID: 2062765423 Enrollment ID: O20181101000471 |
Mailing Address | Practice Location Address |
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Jared Clark Holman, ARNP Po Box 1452, Pasco, WA 99301-1223 Ph: (509) 547-2204 | Jared Clark Holman, ARNP 5219 W Clearwater Ave, Suite 6, Kennewick, WA 99336-1914 Ph: (509) 783-4454 |
Nichole Marie Green, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8503 W Clearwater Ave Ste B, Kennewick, WA 99336 Phone: 509-303-3428 | |
Mrs. Stacey Ann Deschamps, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 602 N Colorado St, Suite D, Kennewick, WA 99336 Phone: 509-735-8600 Fax: 509-783-7354 | |
Christine A Acker, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7201 W Grandridge Blvd, Suite 101, Kennewick, WA 99336 Phone: 509-735-2325 Fax: 509-735-3222 | |
Ms. Marylu Helen Vait, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8901 W Gage Blvd, Kennewick, WA 99336 Phone: 509-735-1100 Fax: 509-735-1180 | |
Debra K Macdonald, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1360 N Louisiana St # A737, Kennewick, WA 99336 Phone: 509-628-1958 Fax: 509-628-1959 | |
Mary Elizabeth Swihart, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3900 S Zintel Way Fl 2, Kennewick, WA 99337 Phone: 509-942-3125 Fax: 509-585-8173 | |
Alana Berdiyev, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 S Louisiana St Ste A120, Kennewick, WA 99336 Phone: 509-491-1944 |