Provider Demographics
NPI:1083916225
Name:HOLLAND, JAMES PAUL JR (CRNP)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:HOLLAND
Suffix:JR
Gender:
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 MCKRELL RD
Mailing Address - Street 2:
Mailing Address - City:RUSSELLTON
Mailing Address - State:PA
Mailing Address - Zip Code:15076-1205
Mailing Address - Country:US
Mailing Address - Phone:412-977-6589
Mailing Address - Fax:
Practice Address - Street 1:11817 FRANKSTOWN RD
Practice Address - Street 2:
Practice Address - City:PENN HILLS
Practice Address - State:PA
Practice Address - Zip Code:15235-3409
Practice Address - Country:US
Practice Address - Phone:412-977-6589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-20
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACNS000164364SA2200X
PASP031382363LF0000X
PANPPA067637363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health