Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holly Marie Hendershot, APRN

Individual provider Registered Nurse · NPI 1083366397

Holly Marie Hendershot, APRN is a Nurse Practitioner in Warren, Michigan. Qualified in 2022, 4 years ago. Practices with Pure Psychiatry of Michigan PLLC, a 100-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

28800 Ryan Rd Ste 320
Warren, MI 48092-4272
Phone: (877) 906-9699
Fax: (866) 227-7418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2795 Edison Dr, Marysville, MI 48040-2068 — (810) 300-6100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704287330 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704287330 (MI)

Record details

NPI number1083366397
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 19, 2022
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pure Psychiatry Of Michigan Pllc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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