ALEXANDRIA GRACE-MARY HOLDER PNP NPI 1275057523

NPI Information

NPI: 1275057523
Provider Name: ALEXANDRIA GRACE-MARY HOLDER, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
4307 HIGHWAY 66 S
ROGERSVILLE, TN
ZIP 37857
Phone: (423) 921-1600
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Alexandria Grace-mary Holder, PNP is a pediatrics nurse practitioner in Rogersville, TN. Alexandria Grace-mary Holder, PNP NPI is 1275057523. 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:

4307 HIGHWAY 66 S
ROGERSVILLE, TN
ZIP 37857-155
Phone: (423) 921-1600
Fax: (423) 921-1681

The NPI 1275057523 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2017 and was last updated on 7/28/2017.

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	363LP0200X	Nurse Practitioner	Pediatrics	22875	TENNESSEE	Yes

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: 5/5/2024

NPI Synchronization or Removal

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