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NPI Code Detail

MEDICARE: HOLLY MCCORD FNP

MEDICARE: HOLLY MCCORD FNP
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
1363L00000XNurse PractitionerPENDINGNJ
2363L00000XNurse Practitioner3015048KY
3363LF0000XFamily Nurse Practitioner3015048KY

General Provider Information

NPI Number : 1831703180
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY MCCORD FNP
Provider Business Mailing Address
First Line : 8673 ELIZAVILLE RD
Second Line :
City : EWING
State : KY
Zip : 41039-8685
Country : US
Telephone Number : 606-782-0276
Fax Number :
Provider Business Practice Location Address
First Line : 989 MEDICAL PARK DR STE 200
Second Line :
City : MAYSVILLE
State : KY
Zip : 41056-8750
Country : US
Telephone Number : 606-759-9424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2020
Last Update Date : 01/06/2026

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