Provider Demographics
NPI:1750964797
Name:CADE, HOLLY MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:MARIE
Last Name:CADE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1275 DICK LONAS RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1383
Mailing Address - Country:US
Mailing Address - Phone:865-500-2143
Mailing Address - Fax:865-381-1509
Practice Address - Street 1:6537 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4826
Practice Address - Country:US
Practice Address - Phone:865-558-9822
Practice Address - Fax:833-908-2117
Is Sole Proprietor?:No
Enumeration Date:2021-04-28
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA14585363A00000X, 363A00000X
363AM0700X
TN4552363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical