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Individual

PENNY MARIE HOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3964 GOODMAN RD E STE 128-129, SOUTHAVEN, MS 38672-8761
(662) 655-0456
(662) 655-0457
Mailing address
3964 GOODMAN RD E STE 128-129, SOUTHAVEN, MS 38672-8761
(662) 655-0456
(662) 655-0457

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
868493
MS

Other

Enumeration date
09/29/2020
Last updated
03/01/2023
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