Mrs Glenda Joann Hollis, LPN is a
Licensed Practical Nurse based in Avera, Georgia. Mrs Glenda Joann Hollis is licensed to practice in Georgia (license number LPN050212) and her current practice location is
Sandvalley Road 10596, Avera, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 245-4504.
NPI number for Mrs Glenda Joann Hollis is 1215326871 and her current mailing address is P.o. Box 85, Kingdom Kare & Komfort, Wrens, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215326871.
Provider's Profile
| Full Name | Mrs Glenda Joann Hollis |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | Sandvalley Road 10596, Avera, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215326871
- Provider Enumeration Date: 01/20/2015
- Last Update Date: 01/21/2015
Medical Identifiers
Medical identifiers for Mrs Glenda Joann Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215326871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN050212 (Georgia) | Primary |
| 172A00000X | Driver | 055768176 (Georgia) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Glenda Joann Hollis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Glenda Joann Hollis, LPN
P.o. Box 85, Kingdom Kare & Komfort,
Wrens, GA 30833
Ph: (912) 245-4504 | Mrs Glenda Joann Hollis, LPN
Sandvalley Road 10596,
Avera, GA 30803
Ph: (912) 245-4504 |
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