Individual
LESLIE W. HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 W END AVE, DICKSON, TN 37055-1725
(615) 446-2839
(615) 441-1900
Mailing address
301 W END AVE, DICKSON, TN 37055-1725
(615) 446-2839
(615) 441-1900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
105431
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105431
RN
TN
Enumeration date
10/12/2007
Last updated
10/12/2007
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