Provider Demographics
NPI:1902824675
Name:HOLLEY, SHARON LOUISE (CNM)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:LOUISE
Last Name:HOLLEY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:OSBORNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:280 CHESTNUT ST
Mailing Address - Street 2:FL 2
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-0119
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:2410 FRANKLIN ROAD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-2227
Practice Address - Country:US
Practice Address - Phone:615-630-6500
Practice Address - Fax:615-297-6667
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-063833367A00000X
MARN2312545367A00000X
TN7585367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife