| NPI | 1932694288 |
|---|---|
| Former Name | HOLLEY L ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71008110A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11004074) |
| 363L00000X Nurse Practitioner (Licence: IN 71008110A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-2823) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2025-01-18 |