Provider Demographics
NPI:1215340831
Name:HOLLAND, MELISSA D (AGPCNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:D
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
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Mailing Address - Street 1:850 CENTRAL PKWY E
Mailing Address - Street 2:STE 275
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5542
Mailing Address - Country:US
Mailing Address - Phone:214-339-9359
Mailing Address - Fax:214-339-7326
Practice Address - Street 1:4373 S HAMPTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-1058
Practice Address - Country:US
Practice Address - Phone:214-339-9359
Practice Address - Fax:214-339-7326
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP125637363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health