Provider Demographics
NPI:1659332153
Name:ABSHER, HOLLY JOHNSON (RN)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:JOHNSON
Last Name:ABSHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 WILLOW LN
Mailing Address - Street 2:WEST PARK C61-2
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-3551
Mailing Address - Country:US
Mailing Address - Phone:336-667-5151
Mailing Address - Fax:336-838-3133
Practice Address - Street 1:1400 WILLOW LN
Practice Address - Street 2:WEST PARK C61-2
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3551
Practice Address - Country:US
Practice Address - Phone:336-667-5151
Practice Address - Fax:336-838-3133
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC184115163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse