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Individual

TINA MICHELLE HOLLIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
716 MILLARD ST, TALLAHASSEE, FL 32301-7038
(850) 528-8966
Mailing address
716 MILLARD ST, TALLAHASSEE, FL 32301-7038
(850) 528-8966

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9275532
FL
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
372500000X
Chore Provider
372600000X
Adult Companion
373H00000X
Day Training/Habilitation Specialist
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9275532
LICENSE
FL
Enumeration date
11/24/2009
Last updated
11/11/2016
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