Individual
NICKI HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
368 FOURTH ST, CROSSVILLE, TN 38555-4309
(931) 484-6158
Mailing address
368 FOURTH ST, CROSSVILLE, TN 38555-4309
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000092287
TN
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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