Individual
AMY REBECCA HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 374-1528
(225) 374-1611
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 374-1528
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
713158
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP04195
LA
363LP0200X
Pediatric Nurse Practitioner
RN104466-AP04195
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1163244
—
LA
05
—
1188522
—
LA
05
—
1450278
—
LA
05
—
2152815
—
LA
Enumeration date
01/22/2007
Last updated
03/14/2023
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