Individual
JACQUELYNN HOLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 N STATE ST FL 5, JACKSON, MS 39202-2064
(601) 968-1052
Mailing address
293 HOLLINS RD, PINOLA, MS 39149-3060
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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