Healthcare Provider Details

I. General information

NPI: 1316285166
Provider Name (Legal Business Name): KRISTEN HOLLIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2013
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 SW 13TH ST
GAINESVILLE FL
32608-4006
US

IV. Provider business mailing address

130 GREENWOOD DR
JENNINGS LA
70546-4302
US

V. Phone/Fax

Practice location:
  • Phone: 352-374-5600
  • Fax: 352-374-5608
Mailing address:
  • Phone: 386-365-8996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN5208397
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: