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NPI Code Detail

MEDICARE: MS. HOLLY R BRISCOE RN, CPNP

MEDICARE:  MS. HOLLY R BRISCOE  RN, CPNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner669246TX
2363LP0200XPediatric Nurse Practitioner178932CO

General Provider Information

NPI Number : 1316999444
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HOLLY R BRISCOE RN, CPNP
Provider Business Mailing Address
First Line : 12655 N CENTRAL EXPY
Second Line : 300
City : DALLAS
State : TX
Zip : 75243-1700
Country : US
Telephone Number : 972-788-1858
Fax Number : 972-788-2798
Provider Business Practice Location Address
First Line : 12655 N CENTRAL EXPY
Second Line : 300
City : DALLAS
State : TX
Zip : 75243-1700
Country : US
Telephone Number : 972-788-1858
Fax Number : 972-788-2798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 07/24/2009

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Directions to “ MS. HOLLY R BRISCOE RN, CPNP” Practice Location

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