| Jennifer Lynn Holmberg, FNP | |
|
400 Plaza Drive, Suite C, Vestal, NY 13850 | |
| (607) 237-0065 | |
| Not Available |
| Full Name | Jennifer Lynn Holmberg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 400 Plaza Drive, Vestal, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659040079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 348217 (New York) | Primary |
| Entity Name | Our Lady Of Lourdes Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lynn Holmberg, FNP 400 Plaza Drive, Suite C, Vestal, NY 13850 Ph: (607) 237-0065 | Jennifer Lynn Holmberg, FNP 400 Plaza Drive, Suite C, Vestal, NY 13850 Ph: (607) 237-0065 |
Ying Fang Zhao, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Apine Drive, Vestal, NY 13850 Phone: 917-238-7372 | |
Ms. Kathryn Ellen Ericksen, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 Old Vestal Rd, Vestal, NY 13850 Phone: 607-221-2745 | |
Susan Wenzinger, ANPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4513 Old Vestal Rd, Vestal, NY 13850 Phone: 607-729-7001 | |
Erica Tokos, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-729-2144 Fax: 607-729-2145 | |
Chloe A Pusey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4104 Vestal Rd, Vestal Executive Park Suite 203, Vestal, NY 13850 Phone: 607-797-9036 Fax: 607-798-0601 | |
Aline Stabler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-729-2144 Fax: 607-729-2145 | |
Maggie Ross, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1938 Cole Pl, Vestal, NY 13850 Phone: 607-321-9798 |