Provider Demographics
NPI:1376240044
Name:HOLLAND, ASHLEY R
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:R
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 FLEEMAN PLACE DR NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37323-1001
Mailing Address - Country:US
Mailing Address - Phone:863-651-3364
Mailing Address - Fax:
Practice Address - Street 1:3415 FLEEMAN PLACE DR NE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37323-1001
Practice Address - Country:US
Practice Address - Phone:863-651-3364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5221362164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse