Provider Demographics
NPI:1548709595
Name:TOMLINSON, ALEXIS HOLLAR (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:HOLLAR
Last Name:TOMLINSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:ELIZABETH
Other - Last Name:HOLLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:574-551-7879
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:574-551-7879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-22
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY701260163W00000X
CT134169163W00000X
NYF342624-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse