Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COLLABORATIVE HOLISTIC PRACTITIONERS GROUP
NPI 1366340341
Nurse Practitioner - Adult Health in Cordova, TN

Q: What is Collaborative Holistic Practitioners Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since October 28, 2026

400 AMUNDSEN CV, CORDOVA, TN 38018(901) 679-9834 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Collaborative Holistic Practitioners Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLABORATIVE HOLISTIC PRACTITIONERS GROUP (NPI 1366340341) is a healthcare organization registered as an adult health in Cordova, Tennessee and active in the NPI registry since October 2026. The organization lists Petra Young-watson, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1366340341

Entity TypeOrganization

Primary Taxonomy363LA2200X

Legal Business NameCOLLABORATIVE HOLISTIC PRACTITIONERS GROUP

Location Address400 AMUNDSEN CVCordova, TN 38018-4378

Mailing Address400 Amundsen CvCordova, TN 38018-4378 · (901) 679-9834

Phone(901) 679-9834

Organization SubpartNo

Authorized OfficialPetra Young-watsonNurse Practitioner · (901) 679-9834

Enumeration DateOctober 28, 2026

NPPES CertifiedOctober 28, 2026

✔ NPI 1366340341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

400 AMUNDSEN CV, Cordova, TN 38018

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collaborative Holistic Practitioners Group's NPI number?

The NPI number for Collaborative Holistic Practitioners Group is 1366340341. It was assigned to this organization in the NPPES registry on October 28, 2026.

Where is Collaborative Holistic Practitioners Group located?

Collaborative Holistic Practitioners Group is located at 400 Amundsen Cv, Cordova, TN 38018. The listed phone number is (901) 679-9834.

What is Collaborative Holistic Practitioners Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Collaborative Holistic Practitioners Group was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.