Provider Demographics
NPI:1275934895
Name:HOLT, TERRY S (FNP)
Entity Type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:S
Last Name:HOLT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 LANDRUM PL
Mailing Address - Street 2:SUITE 700
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-6319
Mailing Address - Country:US
Mailing Address - Phone:931-648-8314
Mailing Address - Fax:931-647-3841
Practice Address - Street 1:311 LANDRUM PL
Practice Address - Street 2:SUITE 700
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-6319
Practice Address - Country:US
Practice Address - Phone:931-648-8314
Practice Address - Fax:931-647-3841
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN168922363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily