MS. JESSICA RACHAEL HOLDER ARNP NPI 1740696954

NPI Information

NPI: 1740696954
Provider Name: MS. JESSICA RACHAEL HOLDER, ARNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1515 SW ARCHER RD
GAINESVILLE, FL
ZIP 32608
Phone: (352) 258-9118
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MS. Jessica Rachael Holder, ARNP is an acute care nurse practitioner in Gainesville, FL. MS. Jessica Rachael Holder, ARNP NPI is 1740696954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1515 SW ARCHER RD
GAINESVILLE, FL
ZIP 32608-134
Phone: (352) 258-9118

The NPI 1740696954 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2014 and was last updated on 9/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	ARNP9179647	FLORIDA	Yes
2	363LA2200X	Nurse Practitioner	Adult Health	ARNP9179647	FLORIDA	No
3	363LF0000X	Nurse Practitioner	Family	ARNP9179647	FLORIDA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	012697700	MEDICAID	FLORIDA
2	HW330Z	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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