Individual
HOLLY ARMSTRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5160
(601) 815-6986
Mailing address
327 EASTRIDGE DR, BRANDON, MS 39042-4223
(601) 824-8938
(601) 815-6986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R862270
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04888590
—
MS
01
—
202011213A
BLUE CROSS
MS
Enumeration date
06/15/2006
Last updated
06/27/2012
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