Deidra Diane Holland, LPN is a
Licensed Practical Nurse based in Lexington, Tennessee. Deidra Diane Holland is licensed to practice in Tennessee (license number 83171) and her current practice location is
90 Rush St, Lexington, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(731) 968-8148.
NPI number for Deidra Diane Holland is 1154891828 and her current mailing address is 90 Rush St, Lexington, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154891828.
Provider's Profile
| Full Name | Deidra Diane Holland |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 90 Rush St, Lexington, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154891828
- Provider Enumeration Date: 11/26/2018
- Last Update Date: 11/26/2018
Medical Identifiers
Medical identifiers for Deidra Diane Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154891828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 83171 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deidra Diane Holland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deidra Diane Holland, LPN
90 Rush St,
Lexington, TN 38351-2241
Ph: (731) 968-8148 | Deidra Diane Holland, LPN
90 Rush St,
Lexington, TN 38351-2241
Ph: (731) 968-8148 |
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