Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly Tadlock Rabon, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1114689791

Holly Tadlock Rabon, AGACNP-BC is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2021, 5 years ago. Practices with The Presbyterian Hospital, a 407-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
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Practice location Address checks out

125 Queens Rd Ste 200
Charlotte, NC 28204-3215
Phone: (704) 343-9800
Fax: (704) 347-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Hawthorne Ln, Charlotte, NC 28204-2515 — (704) 384-4000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5015201 (NC)

Record details

NPI number1114689791
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedOctober 11, 2021
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Presbyterian Hospital — 407 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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