Provider Demographics
NPI:1043678550
Name:VALENTINE, HOLLY (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37283 SWAMP RD STE 1102
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3232
Mailing Address - Country:US
Mailing Address - Phone:225-245-9355
Mailing Address - Fax:225-536-9355
Practice Address - Street 1:37283 SWAMP RD STE 1102
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3232
Practice Address - Country:US
Practice Address - Phone:225-245-9355
Practice Address - Fax:225-536-9355
Is Sole Proprietor?:No
Enumeration Date:2016-01-29
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08627363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily