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General NPI Number Information
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NPI Number | 1437611480
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Entity Type | Individual
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Provider Name | WHITNEY DEEANNE HOLLIFIELD APN
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Gender | Female
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1503 W ELK AVE STE 12
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City | ELIZABETHTON
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State | TN
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Zip | 37643-2883
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Country | US
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Telephone | 423-547-7940
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Fax | 423-547-9401
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Provider Business Mailing Address
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Address Line | PO BOX 632476
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City | CINCINNATI
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State | OH
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Zip | 45263-2476
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Country | US
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Telephone | 423-433-6625
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Fax | 423-723-2669
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 194330
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN25809
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License Number State | TN
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