Individual
JESSICA HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8725 N WICKHAM RD STE 103, MELBOURNE, FL 32940-2240
(321) 253-4673
(321) 253-4338
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1681
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 9234471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008168600
—
FL
01
—
GX832X
MEDICARE
FL
Enumeration date
01/24/2013
Last updated
03/22/2018
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