Individual provider · Type 1 NPI

Holly Ann Gates, NP

Nurse Practitioner · Benton, IL

NPI number 1063991206 Active

Practice location

203 Bailey Ln Ste 1
Benton, IL 62812-2266

Fax (618) 438-5709

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Other practice locations

  • 405 Rushing Dr, Herrin, IL 62948-3730 · (618) 993-3300
  • 117 E Clark St, Harrisburg, IL 62946-2702 · (618) 252-8625
  • 2601 W Main St, Carbondale, IL 62901-1031 · (618) 549-5361
  • 502 W Saint Louis St Ste 4, West Frankfort, IL 62896-1968 · (618) 937-3400

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X277001378 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063991206

Holly Ann Gates, NP's National Provider Identifier is 1063991206, issued on Aug 8, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Benton, IL. The record was last updated on Feb 4, 2026.