Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Holm

Individual provider Nurse Practitioner · NPI 1265881841

Jennifer Holm is a Nurse Practitioner in Mankato, Minnesota. Qualified in 2016, 10 years ago. Practices with Primary ENT, LLC, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1230 E Main St
Mankato, MN 56001
Phone: (507) 389-8502
Fax: (507) 625-3928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 165 W Commerce Dr, Belle Plaine, MN 56011-2911 — (952) 442-2191
  • 8170 Old Carriage Ct Ste 100, Shakopee, MN 55379-3164 — (952) 428-3600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP 4581 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence CNP4581 (MN)

Record details

NPI number1265881841
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2016
Last updated in NPPESJune 4, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Primary Ent, L.L.C. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mankato