Individual provider · Type 1 NPI

Holly Ichida

Specialist · Jonesboro, AR

NPI number 1417699430 Active

Practice location

3117 Sistine Chapel Cir
Jonesboro, AR 72404-7959

Call (614) 432-9803 Map

Specialties and licenses

TaxonomyCodeLicense
Health & Wellness Coach 171400000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1417699430

Holly Ichida's National Provider Identifier is 1417699430, issued on Apr 11, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jonesboro, AR. The record was last updated on Feb 23, 2024.