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

Holly Marie Shoulders, RN

Individual provider Flight Registered Nurse · NPI 1073265864

Holly Marie Shoulders, RN is a Nurse Practitioner in Greenville, Kentucky. Qualified in 2021, 5 years ago. Practices with Baptist Health Deaconess Medical Group Inc, a 240-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2022
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

400 Airport Rd
Greenville, KY 42345-2800
Phone: (812) 598-1218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3017503 (KY)
Flight Registered Nurse Taxonomy 163WF0300X · Licence 1110152 (KY)

Record details

NPI number1073265864
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJanuary 22, 2022
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Baptist Health Deaconess Medical Group Inc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount