Healthcare Provider Details

I. General information

NPI: 1588114276
Provider Name (Legal Business Name): YOLANDA HOHIMER APN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2016
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4147 HIGHWAY 127 N STE 102
CROSSVILLE TN
38571-7521
US

IV. Provider business mailing address

1720 WEST AVE SUITE 106
CROSSVILLE TN
38555-4066
US

V. Phone/Fax

Practice location:
  • Phone: 931-484-2220
  • Fax: 931-484-2225
Mailing address:
  • Phone: 931-484-2220
  • Fax: 931-484-2225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number21857
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: