Individual
ALEXANDRIA GRACE-MARY HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4307 HIGHWAY 66 S, ROGERSVILLE, TN 37857-3155
(423) 921-1600
(423) 921-1681
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 921-1600
(423) 921-1681
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22875
TN
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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