Individual
HOLLY DENISE HOLLEY-HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7854 SHADOWLAND CV, MEMPHIS, TN 38125-2862
(901) 756-4864
Mailing address
7854 SHADOWLAND CV, MEMPHIS, TN 38125-2862
(901) 756-4864
(901) 756-4864
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
147050
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
23385
TN
363LC0200X
Critical Care Medicine Nurse Practitioner
23385
TN
363LG0600X
Gerontology Nurse Practitioner
23385
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23885
STATE OF TENNESSEE LICENSE NUMBER
TN
Enumeration date
10/20/2017
Last updated
10/20/2017
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