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Individual

MRS. JODILYN GRACE HOLZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1678 AIRPORT BLVD, PENSACOLA, FL 32504-8618
(850) 479-3790
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11001285
FL
363LA2200X
Adult Health Nurse Practitioner
AG00190110
FL
363LG0600X
Gerontology Nurse Practitioner
AG00190110
FL
363LP2300X
Primary Care Nurse Practitioner
AG00190110
FL

Other

Enumeration date
06/04/2019
Last updated
04/22/2026
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