MS. TINA M HOLLIS (NPI# 1043724347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043724347 |
| Entity Type | Individual |
| Full Name | MS. TINA M HOLLIS |
| Credential | FNP |
| Practice Address |
2840 Summer Oaks Dr Ste 101 Bartlett TN 38134-3854 |
| Practice Telephone | 9017307360 |
| Practice Fax Number | 9018815972 |
| Mailing Telephone | 9017307360 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23562 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q033272 | 05 |
| Street Address |
2840 SUMMER OAKS DR STE 101 |
| City | BARTLETT |
| State | TN |
| Zip Code | 38134-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083227128 | Rebecca D Castilo | Nurse Practitioner | 8956 Daisy Ellen Cv, Bartlett, TN 38133-3865 | 2020-08-28 |
| 1053956292 | Deepak Sharma | Nurse Practitioner | 1439 Snow Drift Cir, Bartlett, IL 60103-1572 | 2019-11-12 |
| 1235623380 | Latrice Miller | Nurse Practitioner | 8760 Brunswick Park Cv, Bartlett, TN 38133-2153 | 2018-06-20 |
| 1124529904 | Merkita Lester | Nurse Practitioner | 6111 Maher Trl, Bartlett, TN 38135-9267 | 2018-02-26 |
| 1528422441 | Elisheva Reese | Nurse Practitioner | 6637 Summer Knoll Cir Ste 101, Bartlett, TN 38134-2875 | 2016-04-06 |
| 1376963041 | Latonya Simone Hardy | Nurse Practitioner | 2747 Bartlett Blvd, Bartlett, TN 38134-4580 | 2014-04-22 |
| 1629413091 | Mordecia Dickenson | Nurse Practitioner | 7865 Educators Ln Ste 110, Bartlett, TN 38133-8191 | 2013-04-30 |
| 1053606350 | Brittany Lenice Smith | Nurse Practitioner | 6637 Summer Knoll Circle Suite 101, Bartlett, TN 38134 | 2011-06-14 |
| 1801191622 | Morgan Craft Smith | Nurse Practitioner | 8099 Stage Hills Blvd Ste 101, Bartlett, TN 38133-4064 | 2011-01-26 |
| 1174755334 | Hope Primary Care Center | Nurse Practitioner | 5711 Yale Rd, Bartlett, TN 38134-8254 | 2009-08-20 |
| Find all providers in BARTLETT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.