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NPI Code Detail

MEDICARE: OLIVIA NICOLE HOLLAND APRN

MEDICARE: OLIVIA NICOLE HOLLAND APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4046750KY

General Provider Information

NPI Number : 1093677809
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA NICOLE HOLLAND APRN
Provider Business Mailing Address
First Line : PO BOX 381468
Second Line :
City : GERMANTOWN
State : TN
Zip : 38183-1468
Country : US
Telephone Number :
Fax Number : 901-328-1355
Provider Business Practice Location Address
First Line : 1941 BISHOP LN STE 200
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-1973
Country : US
Telephone Number : 502-888-1988
Fax Number : 502-452-6577
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/03/2025

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Directions to “ OLIVIA NICOLE HOLLAND APRN” Practice Location

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