MEDICARE: STEPHANIE MICHELLE MILES HOLLAND APRN-FNP

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
1	363L00000X	Nurse Practitioner	5023443	NC
2	363LF0000X	Family Nurse Practitioner	NP95018110	CA
3	363LF0000X	Family Nurse Practitioner	20NP09	GU

General Provider Information

NPI Number	:	1861081796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MICHELLE MILES HOLLAND APRN-FNP

Provider Business Mailing Address
First Line	:	100 KIMEL FOREST DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-6074
Country	:	US
Telephone Number	:	336-713-0947
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 E OJAI AVE
Second Line	:
City	:	OJAI
State	:	CA
Zip	:	93023-2820
Country	:	US
Telephone Number	:	252-414-7579
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2021
Last Update Date	:	03/13/2026

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