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MR. JONATHAN MAKYLE HOLTZCLAW
NPI 1639560170
Licensed Practical Nurse in Gainesville, FL

Active since February 05, 2015
4300 SW 13TH ST, GAINESVILLE, FL 32608(352) 374-5600 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Jonathan Makyle Holtzclaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JONATHAN MAKYLE HOLTZCLAW (NPI 1639560170) is an individual licensed practical nurse in Gainesville, Florida, licensed in Florida (5194216) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1639560170
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. JONATHAN MAKYLE HOLTZCLAW
Location Address4300 SW 13TH STGainesville, FL 32608-4006
Mailing Address21809 93rd DrO Brien, FL 32071-2601 · (386) 243-1054
Phone(352) 374-5600
Sole ProprietorNo
Enumeration DateFebruary 5, 2015
✔ NPI 1639560170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in FL · 5194216
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4300 SW 13TH ST, Gainesville, FL 32608
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROGER SMITH
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
JOSEPH PALMER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MABEL MAMBO CHE-TUMA
Registered Nurse
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
CHARNETTE MERRITT
Social Worker (Clinical)
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
KELLY MILLER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MURIELLE SAINT-JEAN
Case Manager/Care Coordinator
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
SHANNON MOSER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
DOUGLAS CARL
Nurse's Aide
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Holtzclaw's NPI number?

The NPI number for Jonathan Holtzclaw is 1639560170. It was assigned to this individual provider in the NPPES registry on February 5, 2015.

Where is Jonathan Holtzclaw located?

Jonathan Holtzclaw practices at 4300 SW 13th St, Gainesville, FL 32608. The listed phone number is (352) 374-5600.

What is Jonathan Holtzclaw's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Holtzclaw was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.