Individual provider · Type 1 NPI

Julianne Hollist, NP-C

Gerontology Nurse Practitioner · Meridian, ID

NPI number 1356976039 Active

Practice location

55 W Willowbrook Dr Ste 103
Meridian, ID 83646-3242

Mailing address

55 W Willowbrook Dr, Ste 103
Meridian, ID 83646-3242

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X63993 (ID)
Gerontology Nurse Practitioner Primary 363LG0600X63993 (ID)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1356976039

Julianne Hollist, NP-C's National Provider Identifier is 1356976039, issued on Mar 3, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Meridian, ID. The record was last updated on Apr 27, 2020.