MEDICARE: MRS. KASHAELYN LANIECA HOLLINS-HENDERSON FNP-C

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	363LF0000X	Family Nurse Practitioner	AP137971	TX

General Provider Information

NPI Number	:	1912493230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KASHAELYN LANIECA HOLLINS-HENDERSON FNP-C

Provider Business Mailing Address
First Line	:	705 CAMELIA CT
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-1521
Country	:	US
Telephone Number	:	214-280-0266
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 N TARRANT PKWY STE 104
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-5410
Country	:	US
Telephone Number	:	682-333-1804
Fax Number	:	682-223-1346

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

Provider Enumeration Date	:	07/10/2018
Last Update Date	:	04/01/2025

Similar Medicare Providers

1730362484 — DANA SNELL, D.O. P.L.L.C.
Practice Location Address:

3912 N TARRANT PKWY STE 204
FORT WORTH, TX
76244-5410

Practice Phone: 817-431-2600
Practice Fax: 817-431-2669

1750539490 — DR. KRISHNA PRASAD COLLURU DDS
Practice Location Address:

3900 N TARRANT PKWY , 100
FORT WORTH, TX
76244-5410

Practice Phone: 817-379-9091
Practice Fax:

1720210388 — AARON LEE O.D.
Practice Location Address:

3924 N TARRANT PKWY
FORT WORTH, TX
76244-5410

Practice Phone: 817-514-2114
Practice Fax: 817-514-2150

1346697307 — FOSSIL RIDGE FAMILY DENTISTRY PLLC
Practice Location Address:

3900 N TARRANT PKWY STE 100
FORT WORTH, TX
76244-5410

Practice Phone: 201-469-7076
Practice Fax:

1326585274 — FOSSIL RIDGE FAMILY DENTISTRY PLLC
Practice Location Address:

3900 N TARRANT PKWY STE 100
FORT WORTH, TX
76244-5410

Practice Phone: 817-379-9091
Practice Fax:

1568208569 — KATIE ELLIOTT OD
Practice Location Address:

3924 N TARRANT PKWY
FORT WORTH, TX
76244-5410

Practice Phone: 817-514-2114
Practice Fax: 817-514-2150

Directions to “ MRS. KASHAELYN LANIECA HOLLINS-HENDERSON FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.