Individual
JANET K HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1919 STATE ST STE 324, NEW ALBANY, IN 47150-6807
(812) 945-7536
(812) 945-7542
Mailing address
6097 REASON ROAD, FLOYDS KNOBS, IN 47119
(812) 923-0815
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001804A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548413
BCBS
—
05
—
200503420
—
IN
Enumeration date
03/08/2006
Last updated
12/07/2020
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