Provider Demographics
NPI:1780481499
Name:HOLLAND, BRIANNA J (LPN)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:J
Last Name:HOLLAND
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:J
Other - Last Name:HOLLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:5808 ELKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-4011
Mailing Address - Country:US
Mailing Address - Phone:865-258-6874
Mailing Address - Fax:
Practice Address - Street 1:5808 ELKWOOD DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-4011
Practice Address - Country:US
Practice Address - Phone:865-258-6874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN98870164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse