Healthcare Provider Details

I. General information

NPI: 1083916225
Provider Name (Legal Business Name): JAMES PAUL HOLLAND JR. CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2010
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11817 FRANKSTOWN RD
PENN HILLS PA
15235-3409
US

IV. Provider business mailing address

94 MCKRELL RD
RUSSELLTON PA
15076-1205
US

V. Phone/Fax

Practice location:
  • Phone: 412-977-6589
  • Fax:
Mailing address:
  • Phone: 412-977-6589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberCNS000164
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP031382
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNPPA067637
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: