Provider Demographics
NPI:1740407352
Name:HOLLINS, SHARI NIELE (APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:NIELE
Last Name:HOLLINS
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:MS
Other - First Name:SHARI
Other - Middle Name:NIELE
Other - Last Name:SHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1715 S RUTHERFORD BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-5991
Mailing Address - Country:US
Mailing Address - Phone:615-575-3795
Mailing Address - Fax:877-719-4275
Practice Address - Street 1:1715 S RUTHERFORD BLVD STE A
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-5991
Practice Address - Country:US
Practice Address - Phone:615-575-3795
Practice Address - Fax:877-719-4275
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12671363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1517358Medicaid
TNAPRN12671OtherTN STATE MEDICAL LICENSE
TNT03611DOtherMEDICARE PTAN