Individual
HOLLY ON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
9320 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 842-8411
(877) 917-2336
Mailing address
PO BOX 10222, ATLANTA, GA 30368-2222
(239) 432-8500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11027620
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11027620
FL
Other
Enumeration date
07/27/2023
Last updated
02/04/2026
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