Holly Renee Broadwater is a Johnson City, Tennessee based nurse practitioner with 23 years of experience in Family. She completed her graduation in 2002. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Holly Renee Broadwater is 7703 for Family in Tennessee. Her current practice location is 101 Med Tech Pkwy, Suite 200, Johnson City. Patients can reach her at 423-232-6120. Holly Renee Broadwater is FNP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1134164205. Holly Renee Broadwater delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Holly Renee Broadwater speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Holly Renee Broadwater
Specialization:
Family Nurse Practitioner (FNP)
Gender:
Female
Credentials:
FNP
Experience:
23+ years
Medical School Attended:
Other
Graduation Year:
2002
Accepts Medicare Assignment:
Yes
Practice Address:
101 Med Tech Pkwy, Suite 200, Johnson City, Tennessee, 37604-4007
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4789583899
Enrollment ID:
I20040107000961
NPI Number:
1134164205
NPI Enumeration Date:
20 Jun, 2006
NPI Last Update On:
12 Jan, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Holly Renee Broadwater are as mentioned below.
License Number
Specialization
State
Status
7703
Family
Tennessee
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(440018)
Elizabethton, TN
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Holly Renee Broadwater is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Pain Medicine Associates, P.c. (6901702216)
17
Other Medical Identifiers:
Other legacy medical identifiers associated with Holly Renee Broadwater such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4078380
Other
Tennessee
BLUE CROSS/BLUE SHIELD
P00102426
Other
Tennessee
MEDICARE RAILROAD
1512908
Medicaid
Tennessee
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Holly Renee Broadwater 101 Med Tech Pkwy Ste 200, Johnson City, Tennessee
Zip:
37604-4001
Phone Number:
423-232-6120
Patients can reach Holly Renee Broadwater at 101 Med Tech Pkwy, Suite 200, Johnson City, Tennessee or can call to book an appointment on 423-232-6120.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.