Holly Michelle Sanders, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0000022708 Issued in TN

Practice address

1022 Greystone SQ
Jackson, TN 38305-3580

Phone

(731) 300-2001

Fax

(731) 240-8095

NPI assigned

Aug 7, 2017

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Medical Clinic of Trezevant

  • Primary Care Clinic/Center
  • Jackson, TN
  • NPI 1215693171
  NPD
• Family Care Walk in Clinic, Inc.

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1457302598
  NPD (past)
• Family Medical Clinic of Trezevant

  • Rural Health Clinic/Center
  • Trezevant, TN
  • NPI 1538703897
  NPD (past)
• Primary Care Clinic of Jackson

  • Clinic/Center
  • Jackson, TN
  • NPI 1609309855
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1437674918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ELLIS CV",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383551709",
            "telephone_number": "731-431-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053580",
            "telephone_number": "731-300-2001",
            "fax_number": "731-240-8095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176C W University Pkwy # C",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383051616",
            "country_code": "US",
            "telephone_number": "731-660-6915",
            "fax_number": "731-668-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 Union University Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053172",
            "country_code": "US",
            "telephone_number": "731-265-6197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 US Highway 45 W",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "TN",
            "postal_code": "383438503",
            "country_code": "US",
            "telephone_number": "731-784-7773",
            "fax_number": "731-784-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15001 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "TN",
            "postal_code": "383585132",
            "country_code": "US",
            "telephone_number": "731-613-2535",
            "fax_number": "731-613-2534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Hurt St",
            "address_purpose": "LOCATION",
            "city": "Trezevant",
            "state": "TN",
            "postal_code": "382582505",
            "country_code": "US",
            "telephone_number": "731-207-0323",
            "fax_number": "731-240-8065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "HOLLY",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000022708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Samples, PTA
• Sams East Inc (Sams Pharmacy 10-6507)
• Georgia Marie Sams, CASE MANAGER
• Kimberly Ann Sams, MS, CCC-A/SLP
• Zoila Vichot Sanchez, PHD, FNP
• Nicholas Cooper Sanders, PHARMD
• Scott David Sanders, M.S., BCBA
• Summer Sanders
• Sandra Landers
• Leslie W Sands, FNP

• Family Nurse Practitioner in Jackson, TN
• Providers in Jackson, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.