Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APN0000027502 | TN |
NPI | 1003410523 |
---|---|
Provider Name | Meghan Marie Hollier |
First Address | Johnson City, TN 37604-1445 |
Second Address | Johnson City, TN 37604-1445 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2020 |
Last Update Date | 24/11/2020 |