MEDICARE: ANNA E HOLLINGSHEAD FNP-C

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	363LP2300X	Primary Care Nurse Practitioner	903094	MS
2	363LF0000X	Family Nurse Practitioner	903094	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992260129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA E HOLLINGSHEAD FNP-C

Provider Business Mailing Address
First Line	:	350 N HUMPHREYS BLVD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-2177
Country	:	US
Telephone Number	:	901-226-4003
Fax Number	:	901-227-8591

Provider Business Practice Location Address
First Line	:	1600 22ND AVE
Second Line	:
City	:	MERIDIAN
State	:	MS
Zip	:	39301-3223
Country	:	US
Telephone Number	:	601-483-5322
Fax Number	:	601-696-7198

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

Provider Enumeration Date	:	02/01/2019
Last Update Date	:	02/04/2026

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