Ackermann, Holly
Ackermann, Holly is an individual health care provider with primary practice located at 1153 E Gannon Dr , Festus MO 63028-2611. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ackermann, Holly can be contacted via phone (636) 282-0380.Contact Information
Primary practice address
1153 E Gannon Dr
Festus MO 63028-2611
Phone: (636) 282-0380
Fax: (636) 282-0384
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 2018010406 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2018010406 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2018010406 | Missouri |
Profile Details
NPI number | 1003303389 |
---|---|
LBN Legal business name | Ackermann, Holly |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2018 |
Last updated | Nov 28th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003303389 | NPPES |
Missouri | Other | 2018010406 | MO STATE LICENSE |
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