Individual
MS. BRENDA D. HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,FNP
Contact information
Practice address
1716 PARR AVE, SUITE A, DYERSBURG, TN 38024-2073
(731) 285-3300
(731) 285-3370
Mailing address
PO BOX 1209, DYERSBURG, TN 38025-1209
(731) 285-3300
(731) 285-3370
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5878
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
121969
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3730286
—
TN
05
—
Q001325
—
TN
Enumeration date
07/23/2008
Last updated
05/28/2015
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