Healthcare Provider Details

I. General information

NPI: 1740855642
Provider Name (Legal Business Name): HANNAH DANIELLE HOLT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2021
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6215 HUMPHREYS BLVD STE 401
MEMPHIS TN
38120-2382
US

IV. Provider business mailing address

8110 N BROTHER BLVD
BARTLETT TN
38133-2760
US

V. Phone/Fax

Practice location:
  • Phone: 901-682-9222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number76546
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: