Individual
HEATHER DIANNE HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1207 HIGHWAY 182 W STE B, STARKVILLE, MS 39759-9013
(662) 324-1097
(662) 324-2412
Mailing address
1207 HIGHWAY 182 W STE B, STARKVILLE, MS 39759-9013
(662) 324-1097
(662) 324-2412
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906191
MS
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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