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Individual

HOLLY RENEE TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1701 SPRING ST STE B, JEFFERSONVILLE, IN 47130-2930
(812) 284-2273
Mailing address
225 PEBBLE BROOK DR, CHARLESTOWN, IN 47111-7811
(502) 649-6531

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3012106
KY
363LF0000X
Family Nurse Practitioner
Primary
71008060A
IN

Other

Enumeration date
05/15/2018
Last updated
03/05/2019
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