STACIE DIANNE HOLLOWAY

BRENTWOOD, TN
NPI1598048894
Former NameSTACIE WARD EVANS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R871001)
Enumeration Date2011-09-22
Last Update Date2024-12-20
Business Address
Mrs. STACIE DIANNE HOLLOWAY FNP-BC
1604 WESTGATE CIR STE 240
BRENTWOOD, TN 37027-8578
Phone number: 615-652-1489
Mailing Address
Mrs. STACIE DIANNE HOLLOWAY FNP-BC
131 BUSHY HEAD RD
CHERRY LOG, GA 30522
Phone number: 662-882-3722
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