| Doctor Name: | KATRICE D HOLLIS |
| NPI Number: | 1154657625 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | ARNP9244039 |
| Business Practice Address: | 1296 W Broad St Groveland, FL - 347362012 |
| Business Phone Number: | 4079058827 |
| Business Fax Number: | 3524295606 |
| Mailing Address: | 110 S Woodland St, WINTER GARDEN |
| State: | FL |
| Postal Code: | 347873546 |
| Phone Number: | 4079058827 |
| Fax Number: | 3524295606 |
| NPI Enumeration Date: | 10/19/2009 |
| NPI Last Update Date: | 12/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9244039 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |