MEDICARE: MRS. HOLLY M ENDO FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	23920	TN

General Provider Information

NPI Number	:	1114428026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HOLLY M ENDO FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 3877
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60434-3877
Country	:	US
Telephone Number	:	815-714-7171
Fax Number	:

Provider Business Practice Location Address
First Line	:	1060 PEERLESS XING NW STE 101
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-3785
Country	:	US
Telephone Number	:	423-339-3340
Fax Number	:	423-339-9927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2018
Last Update Date	:	03/03/2026

Similar Medicare Providers

1932173028 — DANIEL B VANCE IV MD
Practice Location Address:

1060 PEERLESS CROSSING DR , SUITE 200
CLEVELAND, TN
37312-3785

Practice Phone: 423-479-4165
Practice Fax: 423-478-1884

1457305161 — SUSAN GAIL FINCH MD
Practice Location Address:

1060 PEERLESS XING NW STE 200
CLEVELAND, TN
37312-3785

Practice Phone: 423-479-4165
Practice Fax: 423-476-9360

1598933269 — SKYRIDGE CLINICAL ASSOCIATES LLC
Practice Location Address:

1060 PEERLESS CROSSING DR , SUITE 200
CLEVELAND, TN
37312-3785

Practice Phone: 423-479-4165
Practice Fax: 423-478-1884

1932337060 — DR. ADITYA KUMAR BHARTIA M.D.
Practice Location Address:

1060 PEERLESS XING NW STE 101
CLEVELAND, TN
37312-3785

Practice Phone: 423-339-3340
Practice Fax: 423-339-9927

1073963716 — TENNESSEE KIDNEY CARE PLLC
Practice Location Address:

1060 PEERLESS CROSSING NW , SUITE 101
CLEVELAND, TN
37312-3785

Practice Phone: 423-339-3340
Practice Fax: 423-339-9927

1801327101 — DR. MATTHEW RYAN WORKMAN MD, MPH, FAAP
Practice Location Address:

1060 PEERLESS XING NW STE 100
CLEVELAND, TN
37312-3785

Practice Phone: 423-339-5656
Practice Fax: 423-339-8889

Directions to “ MRS. HOLLY M ENDO FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.