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Holly
Holly
Shively
Obstetrics & gynecology
Advanced practice registered nurse
Tallahassee,
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Florida Health Care Practitioner Data Portal
Full name
HOLLY SHIVELY
Job Title
Advanced Practice Registered Nurse
Location
Tallahassee, FL, USA
LIC ID
253943
Current License Expiration Date
31/07/2024
Original Date
11/08/2011
Professional Rank Code
APRN
Effective Date
19/07/2006
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
LEON
Practice Location Address Line 1
Elite Gynecology II, LLC/
Practice Location Address Line 2
FWC LLC
Practice Location Address City
TALLAHASSEE
Practice Location Address State
FL
Practice Location Address Zipcode
32308
Mode Code
Nurse Practitioner
Prescribing Indicator
N
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