Individual
MS. JESSICA RACHAEL HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1515 SW ARCHER RD, GAINESVILLE, FL 32608-1134
(352) 258-9118
Mailing address
PO BOX 7, NEWBERRY, FL 32669-0007
(352) 258-9118
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9179647
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP9179647
FL
363LF0000X
Family Nurse Practitioner
ARNP9179647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012697700
—
FL
Enumeration date
07/08/2014
Last updated
09/03/2014
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