Individual
KIMBERLY HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1525 FAIR RD STE 105A, STATESBORO, GA 30458-6118
(276) 591-0818
(912) 259-9509
Mailing address
1525 FAIR RD STE 105A, STATESBORO, GA 30458-6118
(276) 591-0818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11013778
FL
363LF0000X
Family Nurse Practitioner
Primary
RN281463
GA
Other
Enumeration date
10/09/2018
Last updated
05/14/2025
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