| NPI | 1023551223 |
|---|---|
| Former Name | HOLLY V JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN11003757) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CO APN.0992736-CNM) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2024-04-15 |