Holly Bennett Bunch
Nurse Practitioner - Adult Health
17 Centre Plaza Dr
Jackson
, Tennessee 38305-2862
Holly Bennett Bunch
Nurse Practitioner - Adult Health
17 Centre Plaza Dr
Jackson
, Tennessee 38305-2862
(731) 668-7388
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Holly Bennett Bunch
- 17 Centre Plaza Dr
- Jackson, TN
- Zip : 38305-2862
- Fax : (731) 668-7388
- Phone : (731) 512-0104
Second Address
- Holly Bennett Bunch
- 17 Centre Plaza Dr
- Jackson, TN
- Zip : 38305-2862
- Fax : (731) 668-7388
- Phone : (731) 512-0104
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 11706 | TN |
National Provider Identifier
| NPI | 1033138391 |
|---|---|
| Provider Name | Holly Bennett Bunch |
| First Address | Jackson, TN 38305-2862 |
| Second Address | Jackson, TN 38305-2862 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 12/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| Q59523 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.