Individual provider · Type 1 NPI

Taina S. Holly, LPN

Licensed Practical Nurse · Riverdale, GA

NPI number 1104069517 Active

Practice location

1234 Elgin Way
Riverdale, GA 30296

Call (770) 629-1565 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN061999 (GA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104069517

Taina S. Holly, LPN's National Provider Identifier is 1104069517, issued on Apr 15, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Riverdale, GA. The record was last updated on Apr 15, 2009.