Individual
HOLLIE WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
499 GLOSTER CREEK VLG STE S-2, TUPELO, MS 38801-4600
(662) 377-6331
(662) 377-6330
Mailing address
408 COUNCIL CIR STE C, TUPELO, MS 38801-4949
(662) 377-7546
(662) 377-6330
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
903242
MS
Other
Enumeration date
04/19/2019
Last updated
01/26/2021
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