Holly Christine Smith, APRN-CNP | |
601 State Route 664 N, Logan, OH 43138-8541 | |
(740) 380-8000 | |
Not Available |
Full Name | Holly Christine Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 601 State Route 664 N, Logan, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073159158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.025930 (Ohio) | Primary |
Entity Name | Ohio Emergency Professionals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
Entity Name | Osup Community Outreach Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699179929 PECOS PAC ID: 5799008082 Enrollment ID: O20141217001070 |
Mailing Address | Practice Location Address |
---|---|
Holly Christine Smith, APRN-CNP 313 Marietta St, Bremen, OH 43107-1125 Ph: (740) 503-5216 | Holly Christine Smith, APRN-CNP 601 State Route 664 N, Logan, OH 43138-8541 Ph: (740) 380-8000 |
Mrs. Amy L Black, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-380-3750 | |
Amanda Downs Davis, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1383 W Hunter St, Logan, OH 43138 Phone: 740-385-0202 Fax: 740-380-2734 | |
Kaitlin E. Angle, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000 | |
Brett Wilson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 State Route 664 N, Suite C, Logan, OH 43138 Phone: 740-385-6594 Fax: 740-380-0852 | |
Patrick Howe, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 Sr 664 N Suite C, Logan, OH 43138 Phone: 740-385-6594 Fax: 740-774-6617 | |
Bethany Ann Jagers, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-380-3730 |