Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Holst

Individual provider Nurse Practitioner · NPI 1134864754

Jessica Holst is a Nurse Practitioner in Flagstaff, Arizona. Qualified in 2022, 4 years ago. Practices with Ryan Internal Medicine PC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

2705 N 4th St
Flagstaff, AZ 86004-1846
Phone: (928) 233-8801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 277581 (AZ)

Record details

NPI number1134864754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 28, 2022
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ryan Internal Medicine Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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