Individual
MICHELE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3300 S 70TH ST, FORT SMITH, AR 72903-5052
(479) 573-3866
Mailing address
PO BOX 207, MANSFIELD, AR 72944-0207
(479) 462-6369
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
122320
AR
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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