Provider Demographics
NPI:1649613290
Name:NEAL, HOLLY M (APRN)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:M
Last Name:NEAL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1079
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42419-1079
Mailing Address - Country:US
Mailing Address - Phone:270-827-0353
Mailing Address - Fax:270-827-4966
Practice Address - Street 1:736 N ELM ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-2938
Practice Address - Country:US
Practice Address - Phone:270-827-4000
Practice Address - Fax:270-827-5325
Is Sole Proprietor?:No
Enumeration Date:2013-04-14
Last Update Date:2013-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3006831363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health