HOLLY GARDNER


Address: 525 E 15th St, Panama City, FL 32405-5412
Phone: 8505224485

HOLLY GARDNER (NPI# 1619332467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619332467
Entity Type Individual
Full Name HOLLY GARDNER
Credential RN, BSN, PMHNP-BC
Practice Address 525 E 15th St
Panama City
FL 32405-5412
Practice Telephone 8505224485
Mailing Telephone 8505224485
Enumeration Date 2015-12-21
Last Update Date 2016-01-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
RN9230130 FL Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
ARNP9230130 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers HOLLY GARDNER

NPI Name Taxonomy Address Enumeration
1073991253 Holly Gardner Licensed Practical Nurse 356 Pine Creek Ct, Waterford, MI 48327-1586 2015-05-08
1679969620 Holly Gardner Physician Assistant 123 Summer St, Worcester, MA 01608-1216 2015-04-07
1588062194 Holly Gardner Nurse's Aide 7395 W Eastman Pl, Lakewood, CO 80227-5006 2014-12-12
1174877112 Holly Joy Gardner Nurse Practitioner 96 Jonathan Lucas St, Charleston, SC 29425-8900 2012-10-30
1396788709 Holly A Gardner Emergency Medicine 1701 N Senate Blvd, Er Dept, Indianapolis, IN 46202-1239 2006-06-14

Office Location

Street Address 525 E 15TH ST
City PANAMA CITY
State FL
Zip Code 32405-5412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366448615 Paul H Wurst Psychiatry & Neurology 525 E 15th St, Panama City, FL 32405-5412 2005-06-22
1093342552 Roseth E Kyerematen Registered Nurse 525 E 15th St, Panama City, FL 32405-5412 2020-03-25
1912532144 Pamela E. Wallace Registered Nurse 525 E 15th St, Panama City, FL 32405-5412 2020-03-09
1609419936 Timothy Arrant Counselor 525 E 15th St, Panama City, FL 32405-5400 2019-10-18
1801440763 Jennifer Sue Davis Registered Nurse 525 E 15th St, Panama City, FL 32405-5400 2019-07-30
1598327082 Lydia Munoz Licensed Practical Nurse 525 E 15th St, Panama City, FL 32405-5412 2019-07-03
1831750066 Antonio L Campbell Licensed Practical Nurse 525 E 15th St, Panama City, FL 32405-5400 2019-06-27
1831757715 Amanda Nicole Odell Registered Nurse 525 E 15th St, Panama City, FL 32405-5400 2019-06-05
1396203824 Victoria Augusta Terry Registered Nurse 525 E 15th St, Panama City, FL 32405-5412 2019-03-04
1891250296 Luke Abbey Registered Nurse 525 E 15th St, Panama City, FL 32405-5400 2019-02-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457962136 Kimberlea Fox Behavioral Analyst 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 2020-08-14
1598325714 Covenant Home Health Care, LLC Home Health 107 W. 19th Street, Panama City, FL 32405 2019-06-19
1467921403 Amy Hancock Counselor 1212 W. 19th St., Panama City, FL 32405 2018-11-20
1063991917 Patricia Kagendo Mutunga Day Training, Developmentally Disabled Services 2813 Fairmont Dr, Panama City, FL 32405 2018-08-11
1871087882 Southeastern Dermatology Group Pa Pharmacy 2505 Harrison Ave Ste A, Panama City, FL 32405 2018-06-22
1346733615 Jessica Nicole Graham Nurse Practitioner 2507 Harrison Ave Unit 101, Panama City, FL 32405 2018-06-12
1437658424 Coastal Mobility Transportation, LLC Non-emergency Medical Transport (VAN) 203 Forest Park Circle, Panama City, FL 32405 2018-02-06
1003314915 The Anti-aging Clinic of Northwest Florida Obstetrics & Gynecology 3019 Osprey Cir, Panama City, FL 32405 2018-01-25
1255848487 Sarah Theriot Social Worker 700 W 23rd St Bldg H, Panama City, FL 32405 2018-01-09
1336686054 Angela Leake Registered Nurse 449 W 23 St, Panama City, FL 32405 2017-01-20
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619502036 Kayla Elizabeth Roberts Nurse Practitioner 459 Grace Ave, Panama City, FL 32401-2756 2020-03-05
1851857015 Kimberly Murphy Nurse Practitioner 1940 Harrison Ave, Panama City, FL 32405 2019-02-13
1275035198 Doris A Jones Nurse Practitioner 525 E 15th St, Panama City, FL 32405-5412 2018-03-07
1942700182 Ryan C Myers Nurse Practitioner 525 E 15th St, Panama City, FL 32405-5412 2018-02-14
1225497282 Jessica Petch Nurse Practitioner 1940 Harrison Ave, Panama City, FL 32405-4542 2016-02-18
1881083947 Georgina Bembry Nurse Practitioner 525 E 15th St, Panama City, FL 32405-5412 2015-01-13
1295047025 Vickie W Stephens Nurse Practitioner 525 E 15th St, Panama City, FL 32405-5412 2010-07-09
1407002082 Jerris Grover Nurse Practitioner 525 E 15th St, Panama City, FL 32405-5412 2008-08-14
1578696977 Stephen Joel Chesser Nurse Practitioner 525 E 15th St, Panama City, FL 32405-5412 2007-03-14
1720009632 Pamela Lynn Faille Nurse Practitioner 525 E 15th St, Panama City, FL 32405-5400 2006-07-23
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Competitor

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City PANAMA CITY
Zip Code 32405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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