Individual
TONIA HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1122 E MAIN ST, SUITE 4, PHILADELPHIA, MS 39350-2348
(601) 656-1001
(601) 656-7555
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 425-7550
(601) 399-6184
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R823713
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R823713
LICENSE
MS
Enumeration date
01/20/2011
Last updated
11/16/2020
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