Individual
LAUREN CARLISLE HOLLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
255 BAPTIST BLVD., STE. 402, COLUMBUS, MS 39705-2006
(662) 240-1412
(662) 240-1949
Mailing address
499 GLOSTER CREEK VLG, STE A2, TUPELO, MS 38801-4749
(901) 227-3255
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R872453
MS
363LF0000X
Family Nurse Practitioner
R872453
MS
Other
Enumeration date
10/20/2009
Last updated
09/18/2017
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