HOLLY WALKER PATTERSON PNP NPI 1114914132

NPI Information

  • NPI: 1114914132
  • Provider Name: HOLLY WALKER PATTERSON, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 706 TURTLE CREEK DR
    TYLER, TX
    ZIP 75701
  • Phone: (903) 595-3942

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NPI Details

Holly Walker Patterson, PNP is a pediatrics nurse practitioner in Tyler, TX. Holly Walker Patterson, PNP NPI is 1114914132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

706 TURTLE CREEK DR
TYLER, TX
ZIP 75701-833
Phone: (903) 595-3942

The NPI 1114914132 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2005 and was last updated on 6/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics709410TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18K0030MEDICARE OSCAR/CERTIFICATIONTEXAS
28Y2778OTHERTEXASBCBS OF TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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