Provider Demographics
NPI:1619503513
Name:HOLLANDS-PEOPLES, MARKISHA (FNP)
Entity Type:Individual
Prefix:
First Name:MARKISHA
Middle Name:
Last Name:HOLLANDS-PEOPLES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MARKISHA
Other - Middle Name:
Other - Last Name:PEOPLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:1240 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-7194
Mailing Address - Country:US
Mailing Address - Phone:615-717-8404
Mailing Address - Fax:
Practice Address - Street 1:30 SANDSTONE CIR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-2073
Practice Address - Country:US
Practice Address - Phone:615-717-8404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000026718163WW0101X
TN26718363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory