Brenda D. Hollis, MSN,FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

121969 Issued in MO

Practice address

1716 Parr Ave
Suite a
Dyersburg, TN 38024-2073

Phone

(731) 285-3300

Fax

(731) 285-3370

NPI assigned

Jul 23, 2008

Last updated

May 28, 2015By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1942465570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380251209",
            "telephone_number": "731-285-3300",
            "fax_number": "731-285-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 PARR AVE",
            "address_2": "SUITE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242073",
            "telephone_number": "731-285-3300",
            "fax_number": "731-285-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "BRENDA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "MSN,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "5878",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "121969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3730286",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001325",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Highlands of Dyersburg LLC (The Highlands of Dyersburg Health & Rehab)
• Highlands of Dyersburg, LLC (Highlands of Dyersburg Health & Rehab)
• Eric C Hill, CRNA
• Angela M Hinson, PHARM D
• Rita Lynn Hollingsworth, APRN
• Mary Jeanne Holt, DC
• Melissa Tillman Holyfield, PT
• Home Medical Products, Inc.
• Hometown Urgent Care of Dyersburg PLLC
• Halle Hopgood

• Primary Care Nurse Practitioner in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.