Individual
JESSICA HOLST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 N 4TH ST, FLAGSTAFF, AZ 86004-1846
(928) 233-8801
Mailing address
2816 N GREGG DR, FLAGSTAFF, AZ 86001-1073
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277581
AZ
Other
Enumeration date
04/28/2022
Last updated
10/18/2023
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