Individual
HOLLY KNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 WILMA RUDOLPH BLVD, CLARKSVILLE, TN 37040-7356
(931) 245-0500
Mailing address
189 MAXWELL DR, CLARKSVILLE, TN 37043-5071
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
30232
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30232
INSURANCE NOT ACCEPTED AT FACILITY - MEDICAL AESTHETICS
TN
Enumeration date
05/16/2022
Last updated
05/16/2022
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