Provider Demographics
NPI:1326826744
Name:STANLEY, HOLLY A (RN-BSN, DC)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:A
Last Name:STANLEY
Suffix:
Gender:F
Credentials:RN-BSN, DC
Other - Prefix:MRS
Other - First Name:HOLLY
Other - Middle Name:A
Other - Last Name:HARDISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN-BSN
Mailing Address - Street 1:3489 REEPSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092
Mailing Address - Country:US
Mailing Address - Phone:980-254-7284
Mailing Address - Fax:
Practice Address - Street 1:225 MOSS CROSSING
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:SC
Practice Address - Zip Code:29702
Practice Address - Country:US
Practice Address - Phone:864-839-2776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4922111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor