Healthcare Provider Details

I. General information

NPI: 1679401285
Provider Name (Legal Business Name): VERONICA M HOLMES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3599 UNIVERSITY BLVD S # NA
JACKSONVILLE FL
32216-4252
US

IV. Provider business mailing address

5225 ROBERT SCOTT DR S # NA
JACKSONVILLE FL
32207-5852
US

V. Phone/Fax

Practice location:
  • Phone: 904-591-6687
  • Fax:
Mailing address:
  • Phone: 904-591-6687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberAPRN11047549
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: