Active NPI
Marianne Elizabeth Hollingshead, LPN
- Licensed Practical Nurse
- Jacksonville, NC
National Provider Identifier
1063379287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- HOLL-XQG3D
- Practice address
- 1200 Commons Dr N
Jacksonville, NC 28546-0227 - Phone
- (910) 333-0622
- Fax
- (910) 333-0604
- NPI assigned
- Jan 8, 2026
- Last updated
- Jan 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | HOLL-XQG3D | NC | Primary |
Addresses
Primary practice location
1200 Commons Dr N
Jacksonville, NC 28546-0227
Mailing address
1200 Commons Dr N
Jacksonville, NC 28546-0227
Phone (910) 333-0622
Other names 1
- Marianne Elizabeth Graham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HOLL-XQG3D | NC | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onslow County Partnership for Children | Past | Accepting new patients | |
| Onslow County Partnership for Children | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba One Place
- Pediatrics Physician
- Jacksonville, NC
- NPI 1093029563
-
dba One Place
- Adolescent and Children Mental Health Clinic/Center
- Jacksonville, NC
- NPI 1790640985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1063379287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 COMMONS DR N",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285460227",
"telephone_number": "910-333-0622",
"fax_number": "910-333-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 COMMONS DR N",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285460227",
"telephone_number": "910-333-0622",
"fax_number": "910-333-0604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINGSHEAD",
"first_name": "MARIANNE",
"middle_name": "ELIZABETH",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-08",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NC",
"license": "HOLL-XQG3D",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIANNE",
"last_name": "GRAHAM",
"middle_name": "ELIZABETH",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.