Individual provider · Type 1 NPI
Jonathan Makyle Holtzclaw
Licensed Practical Nurse · Gainesville, FL
NPI number
1639560170
Active
Practice location
4300 SW 13th St
Gainesville, FL 32608-4006
Mailing address
21809 93rd Dr
O Brien, FL 32071-2601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 5194216 (FL) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1639560170
Jonathan Makyle Holtzclaw's National Provider Identifier is 1639560170, issued on Feb 5, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Gainesville, FL. The record was last updated on Feb 5, 2015.