Individual provider · Type 1 NPI

Lydia Jean Eva Holley, LPN

Licensed Practical Nurse · Chattanooga, TN

NPI number 1932629458 Active

Practice location

1032 Mccallie Ave
Chattanooga, TN 37403-2800

Fax (865) 342-0103

Mailing address

6350 W Andrew Johnson Hwy Dept 100
Talbott, TN 37877-8605

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN85830 (TN)

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 1932629458

Lydia Jean Eva Holley, LPN's National Provider Identifier is 1932629458, issued on Jun 26, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Chattanooga, TN. The record was last updated on Jun 26, 2017.