Provider Demographics
NPI:1912561051
Name:HOLT, PRINCESS ROLLINS (CNS)
Entity type:Individual
Prefix:
First Name:PRINCESS
Middle Name:ROLLINS
Last Name:HOLT
Suffix:
Gender:
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1846 E ROSEMEADE PKWY # 1162
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-2637
Mailing Address - Country:US
Mailing Address - Phone:469-966-7007
Mailing Address - Fax:469-242-9524
Practice Address - Street 1:4116 STATE HIGHWAY 121 STE 120-C
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-1233
Practice Address - Country:US
Practice Address - Phone:469-966-7007
Practice Address - Fax:469-242-9524
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-24
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141395364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGroup - Single Specialty