| Doctor Name: | MRS. SUSAN DAWNELLE HOLLAND |
| NPI Number: | 1154435949 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC, GNP |
| License Number: | 232389 |
| Business Practice Address: | 10352 Ogbourne Cir Keithville, LA - 710478998 |
| Business Phone Number: | 3189251267 |
| Business Fax Number: | |
| Mailing Address: | 10352 Ogbourne Cir, KEITHVILLE |
| State: | LA |
| Postal Code: | 710478998 |
| Phone Number: | 3189251267 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 232389 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |