Provider Demographics
NPI:1083916225
Name:HOLLAND, JAMES PAUL JR (RN, MSN, ACNS-BC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:HOLLAND
Suffix:JR
Gender:M
Credentials:RN, MSN, ACNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 MCKRELL RD
Mailing Address - Street 2:
Mailing Address - City:RUSSELLTON
Mailing Address - State:PA
Mailing Address - Zip Code:15076-1205
Mailing Address - Country:US
Mailing Address - Phone:412-977-6589
Mailing Address - Fax:
Practice Address - Street 1:212 9TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3517
Practice Address - Country:US
Practice Address - Phone:412-977-6589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-20
Last Update Date:2021-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN228603L163WD0400X
PACNS000164364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator