HELENE M. HOLBROOK FNP NPI 1972597151

NPI Information

NPI: 1972597151
Provider Name: HELENE M. HOLBROOK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

PECOS Registration: Yes

Address:
2151 CENTURY LANE
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 926-2500
Get Directions

Helene M. Holbrook, FNP is a family nurse practitioner in Johnson City, TN with 48 years of experience. Helene M. Holbrook, FNP NPI is 1972597151. 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:

2151 CENTURY LANE
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 926-2500
Fax: (423) 926-5999

The NPI 1972597151 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 9/2/2005 and was last updated on 6/4/2018.

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	363LF0000X	Nurse Practitioner	Family	0024171834	VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	15103	TENNESSEE	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	1972597151	OTHER	TENNESSEE	NPI
2	1972597151	MEDICAID	VIRGINIA
3	1519916	MEDICAID	TENNESSEE

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: 11/14/2023

NPI Synchronization or Removal

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