Individual
ROCKY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
232 MARKET ST, FLOWOOD, MS 39232-3339
(337) 991-9276
(337) 943-0846
Mailing address
3856 HWY 57 WEST, PO BOX 99, RAMER, TN 38367
(731) 645-6118
(731) 645-8312
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R685993
MS
363LF0000X
Family Nurse Practitioner
APN8335
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN8335
MEDICAL LICENSE
TN
Enumeration date
02/21/2007
Last updated
03/24/2017
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