Individual
MRS. HOLLY LEE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
120 ST. LOUIS AVE., SEYMOUR, IN 47274
(812) 522-4084
(812) 523-2013
Mailing address
P.O. BOX 427, SEYMOUR, IN 47274
(812) 522-4084
(812) 523-2013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003173A
IN
Other
Enumeration date
02/02/2010
Last updated
09/07/2011
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