Individual
MRS. TERESA HOLLOWELL
Active
Individual
MRS. TERESA HOLLOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN112644
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
5023792
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
RN112644
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5023792
NCBON
NC
Enumeration date
07/30/2015
Last updated
01/19/2026
Update your record
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