Provider Demographics
NPI:1518074525
Name:HOLMES, LYNDSAY NICOLE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:LYNDSAY
Middle Name:NICOLE
Last Name:HOLMES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4205 BELFORT RD
Mailing Address - Street 2:SUITE 2065
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1471
Mailing Address - Country:US
Mailing Address - Phone:904-296-2631
Mailing Address - Fax:904-296-0253
Practice Address - Street 1:4205 BELFORT RD
Practice Address - Street 2:SUITE 2065
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1471
Practice Address - Country:US
Practice Address - Phone:904-296-2631
Practice Address - Fax:904-296-0253
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9192504363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily