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General NPI Number Information
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NPI Number | 1255978797
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Entity Type | Individual
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Provider Name | COURTNEY HOLLOWAY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 399 9TH ST N STE 300
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City | NAPLES
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State | FL
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Zip | 34102-5820
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Country | US
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Telephone | 239-624-4299
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Fax | 239-624-8856
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Provider Business Mailing Address
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Address Line | 104 WHITE HAWK WAY
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City | KINGSPORT
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State | TN
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Zip | 37663-3068
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Country | US
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Telephone | 423-335-0423
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26662
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11038825
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License Number State | FL
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