Individual
HOLLY JEAN STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1223 GATEWAY DR STE 1A, MELBOURNE, FL 32901-2607
(321) 525-4306
(321) 434-7207
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11016246
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11016246
FL
363LF0000X
Family Nurse Practitioner
11016246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PB988
HF MA
FL
Enumeration date
11/03/2021
Last updated
07/27/2022
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