Provider Demographics
NPI:1538628961
Name:HOLLINGER, HEIDI (MSN, APN,FNP, PMHNP)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:HOLLINGER
Suffix:
Gender:F
Credentials:MSN, APN,FNP, PMHNP
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:HOLLINGER
Other - Last Name:RAWLS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:540 HUGHES RD STE 11
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-8959
Mailing Address - Country:US
Mailing Address - Phone:256-482-6868
Mailing Address - Fax:256-216-4606
Practice Address - Street 1:540 HUGHES RD STE 11
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8959
Practice Address - Country:US
Practice Address - Phone:256-482-6868
Practice Address - Fax:256-216-4606
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-15
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF03190417207Q00000X, 363LF0000X
TXF03190417363L00000X
AL1-161879363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily