Doctor Name: | MRS. PATSY LENAN HOLLOWAY |
NPI Number: | 1003045410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP BC |
License Number: | R847138 |
Business Practice Address: | 605 S Archusa Ave Quitman, MS - 393552331 |
Business Phone Number: | 6017766925 |
Business Fax Number: | 6017767148 |
Mailing Address: | 503 Lynda St, QUITMAN |
State: | MS |
Postal Code: | 393552432 |
Phone Number: | 6017766925 |
Fax Number: | 6017767148 |
NPI Enumeration Date: | 07/07/2009 |
NPI Last Update Date: | 07/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R847138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |