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Holly Broadwater, FNP

NPI 1134164205 · on the registry since 2006

Practice

Address
101 Med Tech Pkwy
Suite 200
Johnson City, TN 37604
Phone
(423) 232-6120
Organisation at this address
Pma Surgery Center Llc
Premier Pediatrics, Llc
Pma Surgery Center, Llc
Tri Cities Esthetics, Inc.
Smokie Mountain Dialysis Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Additional practice sites

  • 2202 North John B Dennis Highway, Kingsport, TN

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee