MS. BRENDA D. HOLLIS (NPI# 1942465570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942465570 |
| Entity Type | Individual |
| Full Name | MS. BRENDA D. HOLLIS |
| Credential | MSN,FNP |
| Practice Address |
1716 Parr Ave Suite A Dyersburg TN 38024-2073 |
| Mailing Address |
Po Box 1209 Dyersburg TN 38025-1209 |
| Practice Telephone | 7312853300 |
| Practice Fax Number | 7312853370 |
| Mailing Telephone | 7312853300 |
| Mailing Fax Number | 7312853370 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2015-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5878 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
121969 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q001325 | 05 | |
| TN | 3730286 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376676171 | Brenda Lynn Hollis | Dentist | 147 Salem Ct, Tallahassee, FL 32301-2809 | 2007-03-13 |
| 1912019084 | Brenda B Hollis | Counselor | 1626 Frederica Rd, Suite 203, St Simons Island, GA 31522-2529 | 2006-08-31 |
| 1144409798 | Brenda Mae Hollis | Counselor | 1 Freedom Way, Augusta, GA 30904-6258 | 2007-10-31 |
| Street Address |
1716 PARR AVE SUITE A |
| City | DYERSBURG |
| State | TN |
| Zip Code | 38024-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006055 | Doreen Eleanor Feldhouse | Family Medicine | 1716 Parr Ave, Suite D, Dyersburg, TN 38024-2073 | 2005-07-12 |
| 1528514346 | Leeann Depriest | Nurse Practitioner | 1716 Parr Ave, Suite D, Dyersburg, TN 38024-2074 | 2016-08-31 |
| 1437589876 | Rural Health Clinic of West Tn Pllc | Clinic/Center | 1716 Parr Ave, Suite A, Dyersburg, TN 38024-2073 | 2013-11-21 |
| 1619202322 | Rural Health Clinics of West Tn, Pllc | Legal Medicine | 1716 Parr Ave, Ste A, Dyersburg, TN 38024-2073 | 2009-10-14 |
| 1750515532 | G. S. Bindra, M.d., Pllc | Specialist | 1716 Parr Ave, Suite A, Dyersburg, TN 38024-2074 | 2009-05-08 |
| 1952564445 | Satyendra Kumar | Audiologist | 1716 Parr Ave, Suite B, Dyersburg, TN 38024-2073 | 2008-07-07 |
| 1063609592 | Rural Health Clinics of West Tn, Pllc | Legal Medicine | 1716 Parr Ave, Suite A, Dyersburg, TN 38024-2073 | 2007-09-28 |
| 1023053386 | West Tn Medical, Pllc | Legal Medicine | 1716 Parr Ave, Suite A, Dyersburg, TN 38024-2073 | 2006-06-19 |
| 1093716490 | Gurpal Singh Bindra | Specialist | 1716 Parr Ave, Suite A, Dyersburg, TN 38024-2073 | 2005-08-09 |
| 1386642429 | Patsy Elaine Crihfield | Nurse Practitioner | 1716 Parr Ave, Suite D, Dyersburg, TN 38024-2073 | 2005-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760273 | Alison Clement | Nurse Practitioner | 750 W Highway 51 Bypass, Dyersburg, TN 38024 | 2020-01-29 |
| 1861030652 | Pagela Jobe | Nurse Practitioner | 750 West Highway 51 Bypass, Dyersburg, TN 38024 | 2019-12-12 |
| 1083184055 | Whitney Young | Nurse Practitioner | 455 East Parkview, Dyersburg, TN 38024 | 2018-12-03 |
| 1518434067 | Myeyedr Optometry of Tennessee, LLC | Optometrist | 400 Us Hwy 51 S, Dyersburg, TN 38024 | 2018-11-01 |
| 1225529142 | Kidney Experts Pllc | Internal Medicine | 1575 Parr Ave # B, Dyersburg, TN 38024 | 2018-05-25 |
| 1407344690 | Darnisha Williams | Pharmacist | 2650 Lake Road, Dyersburg, TN 38024 | 2018-04-24 |
| 1376081547 | Chasidy Branch | Counselor | 640 U.S. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 | 2017-02-07 |
| 1548671845 | Shree Ramakant Mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-08 |
| 1588904965 | Selina Carol Purvis | Physical Therapy Assistant | 1900 Parr Avenue, Dyersburg, TN 38024 | 2013-02-22 |
| 1326396029 | Tennessee Sleep Managment LLC | Clinic/Center | 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 | 2012-08-28 |
| Find all providers in zip 38024 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679931414 | Ashley Creasy | Nurse Practitioner | 2373 Augusta St, Dyersburg, TN 38024-8942 | 2016-02-08 |
| 1750921003 | Mobile Healing LLC | Nurse Practitioner | 2373 Augusta St, Dyersburg, TN 38024-8942 | 2020-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982658 | Kirsten Marie Doerfer | Nurse Practitioner | 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 | 2020-11-06 |
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 1033724349 | Tatum Lee Severino I | Nurse Practitioner | 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 | 2020-09-14 |
| 1871106930 | Munira Asif | Nurse Practitioner | 874 Schilling Farm Rd Apt 106, Collierville, TN 38017-7039 | 2020-08-28 |
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1578197836 | Jessica Pratt | Nurse Practitioner | 512 Marbury Rd, Tullahoma, TN 37388-2142 | 2020-02-26 |
| 1730729278 | Anna Abigail Markus | Nurse Practitioner | 211 Long Branch Rd, Lawrenceburg, TN 38464-5400 | 2020-01-13 |
| 1023653037 | Staci Garner | Nurse Practitioner | 2508 Highway 130, Petersburg, TN 37144-8001 | 2019-11-13 |
| 1881238533 | Janna Rae Haskins | Nurse Practitioner | 5137 Vinnie Dell Drive, Chapel Hill, TN 37034 | 2019-11-05 |
| 1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
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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.