IndividualActive
Holly Wagner
NPI 1154769396 · Registered Nurse · Bartlett, TN
Provider details
- NPI number
- 1154769396
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN0000163346 (TN)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone: (901) 491-2692
Street-level locationGet directions
Mailing address
2986 Kate Bond Rd
Bartlett, TN 38133
Registry dates
- Enumerated
- 2013-06-10
- Last updated
- 2013-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.