CHARISSE HOLMES


Address: 2400 Bellevue Rd Ste 2, Dublin, GA 31021-2885
Phone: 4782728580

CHARISSE HOLMES (NPI# 1073084877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073084877
Entity Type Individual
Full Name CHARISSE HOLMES
Practice Address 2400 Bellevue Rd Ste 2
Dublin
GA 31021-2885
Practice Telephone 4782728580
Mailing Telephone 4782728580
Enumeration Date 2018-12-06
Last Update Date 2018-12-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN216446 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2400 BELLEVUE RD STE 2
City DUBLIN
State GA
Zip Code 31021-2885

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1144839531 Meghan Miller Nurse Practitioner 4700 Tassajara Rd Apt 3408, Dublin, CA 94568-4536 2020-07-30
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1104328343 Allen D Frye Nurse Practitioner 5324 Sunlight Ct, Dublin, OH 43016-8366 2018-03-04
1558880062 Yanxia Li Nurse Practitioner 3198 Madden Way, Dublin, CA 94568 2017-09-15
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Competitor

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City DUBLIN
Zip Code 31021

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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