Hollis, Brenda D.

Hollis, Brenda D. is an individual health care provider with primary practice located at 1716 Parr Ave Suite A, Dyersburg TN 38024-2073. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Hollis, Brenda D. can be contacted via phone (731) 285-3300.

Contact Information

Primary practice address
1716 Parr Ave Suite A Dyersburg TN 38024-2073
Phone: (731) 285-3300
Fax: (731) 285-3370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 121969 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5878 Tennessee

Profile Details

NPI number 1942465570
LBN Legal business name Hollis, Brenda D.
Credentials MSN,FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2008
Last updated May 28th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942465570 NPPES
Tennessee MEDICAID 3730286
Tennessee MEDICAID Q001325

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