Individual
JANE HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(561) 373-8332
Mailing address
3586 SUGARPLUM LN, PORT ORANGE, FL 32129-7630
(561) 373-8332
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11005270
FL
363LP0222X
Critical Care Pediatric Nurse Practitioner
11005270
FL
Other
Enumeration date
01/07/2020
Last updated
03/06/2026
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