National Provider Identifier Database

GLENDA J HOLLIS, LPN – NPI #1215326871
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.


Contact Information

GLENDA J HOLLIS, LPN
SANDVALLEY ROAD 10596
AVERA, GA30803
Phone: 912-245-4504
Fax:
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X
Adult Companion 372600000X
Driver 172A00000X
Home Health Aide 374U00000X

* Indicates primary specialty

NPI Profile & details for GLENDA J HOLLIS

NPI Number 1215326871
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 01/20/2015
Last updated 01/21/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: 055768176
  • GA License #: LPN050212
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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