Shively, Holly K

Shively, Holly K is an individual health care provider with primary practice located at 3217 Capital Medical Blvd , Tallahassee FL 32308-4413. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Shively, Holly K can be contacted via phone (850) 320-7693.

Contact Information

Primary practice address
3217 Capital Medical Blvd Tallahassee FL 32308-4413
Phone: (850) 320-7693
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP9170049 Florida
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X ARNP9170049 Florida

Profile Details

NPI number 1508136359
LBN Legal business name Shively, Holly K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2012
Last updated Jan 10th, 2024 - about last year

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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