Provider Demographics
NPI:1154015477
Name:HOLDER, CHAUNA LEIGH PAULETTE (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:CHAUNA LEIGH
Middle Name:PAULETTE
Last Name:HOLDER
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10162 APPLE BLOSSOM CIR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-7418
Mailing Address - Country:US
Mailing Address - Phone:317-523-8364
Mailing Address - Fax:
Practice Address - Street 1:865 WESTFIELD RD STE A
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-8938
Practice Address - Country:US
Practice Address - Phone:317-776-3851
Practice Address - Fax:317-776-3854
Is Sole Proprietor?:No
Enumeration Date:2023-06-08
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28147713A163WA2000X, 163WC1500X, 163WG0000X, 163WS0200X
IN71014157A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WS0200XNursing Service ProvidersRegistered NurseSchool