Individual
HOLLY HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, RN, PMHNP-BC
Contact information
Practice address
508 N MAIN ST STE A, HINESVILLE, GA 31313-2570
(912) 785-2100
(844) 740-0009
Mailing address
508 N MAIN ST STE A, HINESVILLE, GA 31313-2570
(912) 785-2100
(844) 740-0009
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN1169906
GA
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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