Individual
MRS. HOLLY WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
345 HIGHWAY 15 N, PONTOTOC, MS 38863-1105
(662) 489-7430
(662) 489-7938
Mailing address
6002 WESTWIND DR, TUPELO, MS 38801-8498
(662) 574-6138
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R861937
MS
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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