Provider Demographics
NPI:1609333095
Name:KLEYPAS, HOLLY ANN (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANN
Last Name:KLEYPAS
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4153 VINTAGE HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77808-7585
Mailing Address - Country:US
Mailing Address - Phone:979-777-1806
Mailing Address - Fax:
Practice Address - Street 1:1121 BRIARCREST DR STE 303
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-2500
Practice Address - Country:US
Practice Address - Phone:979-774-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-21
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140581363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner