NPI 1033221106 HOLLY T ROBERTSON FNP SOUTHAVEN MS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Holly T Robertson - NPI: 1033221106

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: HOLLY T ROBERTSON
NPI Number: 1033221106
Entity Type Code: Individual (1)
Gender: F
Credentials: FNP
License Number: R851350
Business Practice Address: 122 Airways Pl
Southaven, MS - 386715872
Business Phone Number: 6623499990
Business Fax Number: 6623492620
Mailing Address: 122 Airways Pl,
SOUTHAVEN
State: MS
Postal Code: 386715872
Phone Number: 6623499990
Fax Number: 6623492620
NPI Enumeration Date: 08/31/2006
NPI Last Update Date: 06/12/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: R851350
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MS
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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