Holder, Jessica Rachael

Holder, Jessica Rachael is an sole proprietor health care provider with primary practice located at 1515 Sw Archer Rd , Gainesville FL 32608-1134. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Holder, Jessica Rachael can be contacted via phone (352) 258-9118.

Contact Information

Primary practice address
1515 Sw Archer Rd Gainesville FL 32608-1134
Phone: (352) 258-9118
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X ARNP9179647 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9179647 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9179647 Florida

Profile Details

NPI number 1740696954
LBN Legal business name Holder, Jessica Rachael
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2014
Last updated Sep 3rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740696954 NPPES
Florida MEDICAID 012697700

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