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MRS. TAINA S. HOLLY LPN
NPI 1104069517
Licensed Practical Nurse in Riverdale, GA

Active since April 15, 2009
1234 ELGIN WAY, RIVERDALE, GA 30296(770) 629-1565 Get Directions Write a Review

NPPES record last updated: April 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Taina S. Holly Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TAINA S. HOLLY LPN (NPI 1104069517) is an individual licensed practical nurse in Riverdale, Georgia, licensed in Georgia (LPN061999) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1104069517
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. TAINA S. HOLLYCredential: LPN
Location Address1234 ELGIN WAYRiverdale, GA 30296
Mailing Address1234 Elgin WayRiverdale, GA 30296 · (770) 629-1565
Phone(770) 629-1565
Sole ProprietorNo
Enumeration DateApril 15, 2009
✔ NPI 1104069517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in GA · LPN061999
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1234 ELGIN WAY, Riverdale, GA 30296
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Other Identifiers 1

Other031012479GA · Ga Office Of Reg. Service

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA CAMPBELL
Behavior Technician
1234 ELGIN WAY
RIVERDALE, GA 30296
Clayton County (470) 373-6952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taina Holly's NPI number?

The NPI number for Taina Holly is 1104069517. It was assigned to this individual provider in the NPPES registry on April 15, 2009.

Where is Taina Holly located?

Taina Holly practices at 1234 Elgin Way, Riverdale, GA 30296. The listed phone number is (770) 629-1565.

What is Taina Holly's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Taina Holly was last updated on April 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.