Healthcare Provider Details

I. General information

NPI: 1063218733
Provider Name (Legal Business Name): HOLLY NICOLE REED RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 17TH ST
COLUMBUS IN
47201-5351
US

IV. Provider business mailing address

701 E WASHINGTON ST
SHELBYVILLE IN
46176-1746
US

V. Phone/Fax

Practice location:
  • Phone: 812-376-5212
  • Fax:
Mailing address:
  • Phone: 317-512-6237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number28277058A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number28277058A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: