Individual
DR. JESSA MICHELLE HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP
Contact information
Practice address
33 VARDEN DR, AIKEN, SC 29803-5285
(803) 642-3801
(803) 642-5538
Mailing address
33 VARDEN DR, AIKEN, SC 29803-5285
(803) 642-3801
(803) 642-5538
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21597
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21597
SC STATE BOARD OF NURSING
SC
Enumeration date
01/19/2018
Last updated
01/23/2018
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