MS. HOLLY LAVENDER (NPI# 1639535628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639535628 |
| Entity Type | Individual |
| Full Name | MS. HOLLY LAVENDER |
| Other Name | HOLLY E CLEMENTS |
| Credential | FNP |
| Practice Address |
1016 Keith Dr Perry GA 31069 |
| Practice Telephone | 4789881515 |
| Practice Fax Number | 4789881550 |
| Mailing Telephone | 4789881515 |
| Mailing Fax Number | 4789881550 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN184680 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184197899 | Holly Renee Lavender | Physician Assistant | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2019-01-04 |
| Street Address |
1016 KEITH DR |
| City | PERRY |
| State | GA |
| Zip Code | 31069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761125 | Sarah Coxwell Harris | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069-2947 | 2019-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114924 | Rebecca Lyn Parker | Pharmacist | 302 Walton Chase, Perry, GA 31069 | 2018-11-27 |
| 1437637568 | Joshua Thomas Guley | Dentist | 2161 Houston Lake Road Hwy 127, Perry, GA 31069 | 2018-07-31 |
| 1043755531 | Otha Everett | Counselor | 733-b Carroll Street, Perry, GA 31069 | 2016-12-20 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1598049918 | Spencer D Shugart | Physical Therapist | 1202 Macon Rd, Perry, GA 31069 | 2011-10-04 |
| 1154638518 | Middle Georgia Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 1040 Morningside Drive, Perry, GA 31069 | 2010-09-07 |
| 1922203686 | Sarah Pearson Velasquez | Nurse Practitioner | 1024 Keith Drive, Perry, GA 31069 | 2007-06-20 |
| 1417008004 | Bruce Duwayne Sampson | Internal Medicine | 1019 Keith Drive, Suite A, Perry, GA 31069 | 2007-01-12 |
| 1104839125 | Harold Brian Gillis | Chiropractor | 1207 Main Street Suite C, Perry, GA 31069 | 2006-08-14 |
| 1225087406 | Karunaker Reddy Sripathi | Internal Medicine | 209 Wes Park Drive, Perry Primary Care, Perry, GA 31069 | 2006-05-08 |
| Find all providers in zip 31069 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093209835 | Alyssa Megan Taylor | Nurse Practitioner | 277 Perry Pkwy Ste C, Perry, GA 31069-8428 | 2018-06-15 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1093197667 | Dulcie Yelverton | Nurse Practitioner | 1762 Morgan Whiddon Rd, Perry, FL 32347-2145 | 2015-06-19 |
| 1215125372 | Plainsmen Health Services Inc. | Nurse Practitioner | 14000 23rd St, Suite 1a, Perry, KS 66073-4046 | 2007-10-12 |
| 1083652259 | Nunnie Emery | Nurse Practitioner | 402 E Ash St, Perry, FL 32347-2105 | 2006-06-02 |
| 1609413731 | Ashlee Marie Morman | Nurse Practitioner | 616 10th St, Perry, IA 50220-2221 | 2019-12-09 |
| 1134761125 | Sarah Coxwell Harris | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069-2947 | 2019-10-11 |
| 1467013466 | Macy Ely | Nurse Practitioner | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2019-06-21 |
| 1811456189 | Kristen Taylor Bland | Nurse Practitioner | 100 Plantation Rd, Perry, FL 32348-6000 | 2019-03-17 |
| 1124585880 | Krista Lauren Keen | Nurse Practitioner | 277 Perry Pkwy Ste C, Perry, GA 31069-8428 | 2019-02-28 |
| Find all providers in PERRY | ||||
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| 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.