Provider Demographics
NPI:1780714675
Name:HOLT, JESSICA BRIT (DNP)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:BRIT
Last Name:HOLT
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:BRIT
Other - Last Name:D'AMICO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:PO BOX 4797
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915
Mailing Address - Country:US
Mailing Address - Phone:831-649-0175
Mailing Address - Fax:831-649-0220
Practice Address - Street 1:889 PACIFIC ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940
Practice Address - Country:US
Practice Address - Phone:831-649-0175
Practice Address - Fax:831-646-0220
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN697980163WW0101X
CA17238363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory