Provider Demographics
NPI:1386035210
Name:GARLAND, HOLLY NACHOLE (NP-C)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:NACHOLE
Last Name:GARLAND
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 W CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37091-2730
Mailing Address - Country:US
Mailing Address - Phone:931-359-3551
Mailing Address - Fax:931-359-8421
Practice Address - Street 1:304 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091
Practice Address - Country:US
Practice Address - Phone:931-359-3551
Practice Address - Fax:931-359-8421
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-13
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19666363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily