Basic Information
Provider Information
NPI: 1871145144
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOLTKAMP
FirstName: LINZEE
MiddleName: DEVAN
NamePrefix: MS.
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 415000-MSC8231
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372418231
CountryCode: US
TelephoneNumber: 8656706199
FaxNumber: 8656706198
Practice Location
Address1: 1932 ALCOA HWY STE 270
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379201537
CountryCode: US
TelephoneNumber: 8652514658
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/16/2019
LastUpdateDate: 03/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X26172TNN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LF0000X26172TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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