Most Relevant Information
Provider Data
| NPI Number: | 1003396086 |
| Provider Name: | HOLLY VICTORIA CANNON FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 24642 |
Most Important Dates
| Enumeration Date: | 08/18/2018 |
| Last Updated: | 03/23/2022 |
Provider Practice Location
1161 21ST AVE S
NASHVILLE
TN
372326976
Practice Location Phone/Fax
| Phone: | 6159360060 |
| Fax: |
Provider Mailing Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE
TN
372152691
Provider Mailing Phone/Fax
| Phone: | 6158755969 |
| Fax: |