Healthcare Provider Details

I. General information

NPI: 1083116941
Provider Name (Legal Business Name): WHITNEY MARIE HOLLAND MS, RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2018
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 HOLLY HILL DR
CONWAY AR
72034-2035
US

IV. Provider business mailing address

PO BOX 1103
CONWAY AR
72033-1103
US

V. Phone/Fax

Practice location:
  • Phone: 501-259-1149
  • Fax:
Mailing address:
  • Phone: 501-259-1149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: