| Donna Hollis, APRN | |
| 700 Martin L King Ave, Henderson, KY 42420-4242 | |
| (270) 826-4800 | |
| Not Available | 
| Full Name | Donna Hollis | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 700 Martin L King Ave, Henderson, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770018525 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3011280 (Kentucky) | Primary | 
| Entity Name | Cleanslate Medical Group Of Indiana Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Donna Hollis, APRN 700 Martin L King Ave, Henderson, KY 42420 Ph: (270) 826-4800 | Donna Hollis, APRN 700 Martin L King Ave, Henderson, KY 42420-4242 Ph: (270) 826-4800 | 
| Kristin Denise Bugg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Merritt Dr, Henderson, KY 42420 Phone: 270-827-0064 Fax: 270-826-3338 | |
| Lacey N Roberts, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Third St, Suite 250, Henderson, KY 42420 Phone: 270-826-0135 Fax: 270-827-8798 | |
| Raven Whitney Ray, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 3rd St, Suite 180, Henderson, KY 42420 Phone: 270-827-3573 Fax: 270-827-1250 | |
| Sangita Patel, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 N Green St, Henderson, KY 42420 Phone: 833-510-4357 | |
| Rebecca Lynn Braden,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 N Gardenmile Rd, Henderson, KY 42420 Phone: 270-830-9186 | |
| Ashley Durham, APRN, CNM, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 8th St Ste C, Henderson, KY 42420 Phone: 270-830-3056 Fax: 270-830-3058 | |
| Melissa Joyce Owens, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1023 N Elm St, Henderson, KY 42420 Phone: 270-826-0838 Fax: 270-830-0371 |