Individual
HOLLY KAYLIN ROSAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 N STATE ST STE 502, JACKSON, MS 39202-2414
(601) 944-1781
Mailing address
1190 N STATE ST STE 502, JACKSON, MS 39202-2414
(601) 944-1781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
899099
MS
363L00000X
Nurse Practitioner
Primary
899099
MS
Other
Enumeration date
06/13/2022
Last updated
08/19/2024
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