| Doctor Name: | HOLLY K TAYLOR |
| NPI Number: | 1811362239 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, CNSC |
| License Number: | |
| Business Practice Address: | 104 Millard Ln Blountville, TN - 376175449 |
| Business Phone Number: | 4234831457 |
| Business Fax Number: | |
| Mailing Address: | 104 Millard Ln, BLOUNTVILLE |
| State: | TN |
| Postal Code: | 376175449 |
| Phone Number: | 4234831457 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2015 |
| NPI Last Update Date: | 12/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1004X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Pediatric |
| Taxonomy Definition: | |