Provider Demographics
NPI:1457141145
Name:MCCHESNEY, HOLLY (PA)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:MCCHESNEY
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 S JAVELINA RUN TRL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85730-5690
Mailing Address - Country:US
Mailing Address - Phone:520-990-5832
Mailing Address - Fax:
Practice Address - Street 1:6567 E CARONDELET DR STE 415
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-6157
Practice Address - Country:US
Practice Address - Phone:520-887-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant