Provider Demographics
NPI:1285517797
Name:BLANTON, HOLLY CHRISTINE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:CHRISTINE
Last Name:BLANTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:HOLLY
Other - Middle Name:CHRISTINE
Other - Last Name:HOPKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:2101 WESTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-8357
Mailing Address - Country:US
Mailing Address - Phone:972-762-0311
Mailing Address - Fax:
Practice Address - Street 1:7777 FOREST LN STE D570
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2559
Practice Address - Country:US
Practice Address - Phone:972-566-4660
Practice Address - Fax:972-566-6413
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1205415363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily