Individual
LISA JANE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ACNP
Contact information
Practice address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
(817) 759-7000
Mailing address
800 W MAGNOLIA AVE, FORT WORTH, TX 76104-4611
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
636756
TX
Other
Enumeration date
05/12/2006
Last updated
07/13/2007
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