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Individual

HOLLY JOAN GILLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1310 24TH AVE S, DEPT OF PSYCHIATRY/MENTAL HEALTH, NASHVILLE, TN 37212-2637
(615) 873-8379
Mailing address
1310 24TH AVE S, DEPT OF PSYCHIATRY/MENTAL HEALTH, NASHVILLE, TN 37212-2637
(615) 873-8379

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
122828
MA
163W00000X
Registered Nurse
94695
TN
363LF0000X
Family Nurse Practitioner
Primary
6791
TN

Other

Enumeration date
06/24/2008
Last updated
04/12/2012
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