Provider Demographics
NPI:1306863212
Name:PIERCE, HOLLY HILSENBECK (MD)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:HILSENBECK
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:LYNNE
Other - Last Name:HILSENBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1701 CENTURY CENTER CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-8975
Mailing Address - Country:US
Mailing Address - Phone:901-405-8200
Mailing Address - Fax:
Practice Address - Street 1:1701 CENTURY CENTER CV
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-8975
Practice Address - Country:US
Practice Address - Phone:901-405-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25977207ZP0102X
OK24789207ZP0102X
TN42224207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3000088Medicaid
TN3000088Medicaid