IndividualActive
Jennifer Holt, PA-C
NPI 1801054879 · Surgical Physician Assistant · Fairbanks, AK
Provider details
- NPI number
- 1801054879
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 150000 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3745 Geist Rd
Fairbanks, AK 99709-3554
Phone: (907) 456-3338
Approximate (ZIP-level) locationGet directions
Mailing address
3745 Geist Rd
Fairbanks, AK 99709-3554
Registry dates
- Enumerated
- 2008-05-27
- Last updated
- 2019-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.