Healthcare Provider Details

I. General information

NPI: 1750294005
Provider Name (Legal Business Name): JOSHUA CHRISTOPHER HOLT FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22197 HILL N DALE DR
SILVERHILL AL
36576-3936
US

IV. Provider business mailing address

22197 HILL N DALE DR
SILVERHILL AL
36576-3936
US

V. Phone/Fax

Practice location:
  • Phone: 912-441-9610
  • Fax:
Mailing address:
  • Phone: 912-441-9610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06262001
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: