Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holly Johnson Ltc, PLLC

Organization Primary Care Nurse Practitioner · NPI 1114426756

Holly Johnson Ltc, PLLC is a Primary Care Nurse Practitioner in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5505 New Copeland Rd
Tyler, TX 75703-3955
Phone: (903) 705-0202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP136353 (TX)

Record details

NPI number1114426756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Holly Augustus — Owner/Employee · (903) 721-0865
NPI enumeratedFebruary 9, 2018
Last updated in NPPESJune 14, 2019
Mailing address608 Monroe St, Jacksonville, TX 75766-4342

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