Individual provider · Type 1 NPI

Holley V. Hagan, NP-C

Nurse Practitioner · Carrollton, GA

NPI number 1962653386 Active

Practice location

100 Professional Park, Suite 202
Carrollton, GA 30117

Fax (770) 832-9432

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN131149NP (GA)

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 1962653386

Holley V. Hagan, NP-C's National Provider Identifier is 1962653386, issued on Oct 3, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carrollton, GA. The record was last updated on Oct 3, 2008.