Lori B Holladay, FNP-BC | |
205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | |
(731) 352-7907 | |
(731) 352-4459 |
Full Name | Lori B Holladay |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 205 Hospital Dr, Mc Kenzie, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144644246 | NPI | - | NPPES |
Q003306 | Medicaid | TN | |
3380640 | Other | TN | MEDICAID GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN18359 (Tennessee) | Primary |
Entity Name | Baptist Memorial Hospital-huntingdon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184114902 PECOS PAC ID: 4082509757 Enrollment ID: O20180927003364 |
Mailing Address | Practice Location Address |
---|---|
Lori B Holladay, FNP-BC 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: () - | Lori B Holladay, FNP-BC 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 Ph: (731) 352-7907 |
Beth Mitchell Graves, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Mrs. Victoria Brooke Ivy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1894 Cedar St, Mc Kenzie, TN 38201 Phone: 731-207-6496 | |
Gyu Chang Jo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Meredith Ann Brown, NP-C, CHPN, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201 Phone: 731-352-7907 Fax: 731-352-4459 | |
Leslie Leeann Ellis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Oak Manor Rd, Mc Kenzie, TN 38201 Phone: 731-394-1145 | |
Briana Page Chandler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 Phone: 731-352-7907 |