Individual
DESIREE DANIELLE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
409 WALKER RD STE B, JACKSON, TN 38305-7417
(731) 281-4786
(731) 281-4823
Mailing address
409 WALKER RD STE B, JACKSON, TN 38305-7417
(731) 281-4786
(731) 281-4823
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000028697
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q063920
—
TN
Enumeration date
01/05/2021
Last updated
11/18/2024
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