Healthcare Provider Details

I. General information

NPI: 1477268308
Provider Name (Legal Business Name): HOLLY MCCARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2023
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2007 STATE ST
WASHINGTON IN
47501-8505
US

IV. Provider business mailing address

2129 N LINCOLN LN
VINCENNES IN
47591-6164
US

V. Phone/Fax

Practice location:
  • Phone: 812-254-1558
  • Fax: 812-254-8308
Mailing address:
  • Phone: 812-882-3333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number28251707A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: