Provider Demographics
NPI:1255047569
Name:HOLLYFIELD, CHAD LEE (FNP-C)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:LEE
Last Name:HOLLYFIELD
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4904 LEE DR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-9668
Mailing Address - Country:US
Mailing Address - Phone:919-756-9918
Mailing Address - Fax:
Practice Address - Street 1:58 OLD ROBERTS RD
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-8047
Practice Address - Country:US
Practice Address - Phone:919-934-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHOLL-W61UZ363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily