HOLLY ACKERMANN FNP NPI 1003303389

NPI Information

NPI: 1003303389
Provider Name: HOLLY ACKERMANN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1153 E GANNON DR
FESTUS, MO
ZIP 63028
Phone: (636) 282-0380
Get Directions

Holly Ackermann, FNP is a family nurse practitioner in Festus, MO with 7 years of experience. Holly Ackermann, FNP NPI is 1003303389. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1153 E GANNON DR
FESTUS, MO
ZIP 63028-611
Phone: (636) 282-0380
Fax: (636) 282-0384

The NPI 1003303389 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/22/2018 and was last updated on 11/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	2018010406	MISSOURI	No
2	363L00000X	Nurse Practitioner		2018010406	MISSOURI	No
3	363LF0000X	Nurse Practitioner	Family	2018010406	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2018010406	OTHER	MISSOURI	MO STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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