Individual
CARISSA HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
565 KERN ST, SHAFTER, CA 93263-2133
(661) 746-4937
Mailing address
565 KERN ST, SHAFTER, CA 93263-2133
(661) 746-4937
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95030370
CA
Other
Enumeration date
10/18/2022
Last updated
11/05/2024
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