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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2705 N 4th St
Flagstaff, AZ 86004-1846
Phone: (928) 233-8801
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
Mailing address2816 N Gregg Dr, Flagstaff, AZ 86001-1073

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

Other providers in Flagstaff