Individual
VIRGINIA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9075 SANDIDGE CENTER CV, OLIVE BRANCH, MS 38654-3514
(662) 895-4949
(662) 895-6776
Mailing address
9075 SANDIDGE CENTER CV, OLIVE BRANCH, MS 38654-3514
(662) 895-4949
(662) 895-6776
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
20147
TN
163WW0000X
Wound Care Registered Nurse
R863579
MS
363LF0000X
Family Nurse Practitioner
Primary
R863579
MS
Other
Enumeration date
02/14/2014
Last updated
05/10/2017
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