KATRINA JACKSON HOLLEY PA NPI 1427594381

NPI Information

NPI: 1427594381
Provider Name: KATRINA JACKSON HOLLEY, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1604 HOSPITAL PKWY STE 501
BEDFORD, TX
ZIP 76022
Phone: (817) 684-2700
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Katrina Jackson Holley, PA is a surgical physician assistant in Bedford, TX with 8 years of experience. Katrina Jackson Holley, PA NPI is 1427594381. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1604 HOSPITAL PKWY STE 501
BEDFORD, TX
ZIP 76022-932
Phone: (817) 684-2700
Fax: (817) 684-2709

The NPI 1427594381 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/16/2017 and was last updated on 2/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA11078	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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