Individual
MS. TERRI A HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 609-8038
Mailing address
546 SUMMIT DR, ORANGE PARK, FL 32073-2288
(904) 609-8038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9638617
FL
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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