IndividualActive
Julianne Hollist, NP-C
NPI 1356976039 · Gerontology Nurse Practitioner · Meridian, ID
Provider details
- NPI number
- 1356976039
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 63993 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
55 W Willowbrook Dr Ste 103
Meridian, ID 83646-3242
Phone: (208) 402-9956
Approximate (ZIP-level) locationGet directions
Mailing address
55 W Willowbrook Dr
Meridian, ID 83646-3242
Registry dates
- Enumerated
- 2020-03-03
- Last updated
- 2020-04-27
- Certified
- 2020-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.