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

Holly Renee Broadwater, FNP

Individual provider Family Nurse Practitioner · NPI 1134164205

Holly Renee Broadwater, FNP is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2002, 24 years ago. Practices with Specialists in Pain Management, PLLC Dba Spine and Pain Associates, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
24
Licensed in
TN
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

101 Med Tech Pkwy Ste 200
Johnson City, TN 37604-4007
Phone: (423) 232-6120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2202 North John B Dennis Highway, Kingsport, TN 37660 — (423) 392-6690

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7703 (TN)

Record details

NPI number1134164205
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Specialists In Pain Management, Pllc Dba Spine And Pain Associates — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnson City