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Contact Information

JULIANNE HOLLIST, NP-C
55 W WILLOWBROOK DR STE 103
MERIDIAN, ID83646-3242
 Phone: 208-402-9956
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JULIANNE HOLLIST · (Female)

NPI Number 1356976039
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 03/03/2020
Last updated 04/27/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 63993
Hospital affiliation(s)
  • WEST VALLEY MEDICAL CENTER - (Acute Care)
    1717 ARLINGTON STREET
    CALDWELL, ID 83605
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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