Individual
HOLLEY M PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 377-3000
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 377-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
912789
MS
363LP0200X
Pediatric Nurse Practitioner
Primary
907143
MS
Other
Enumeration date
11/28/2022
Last updated
10/05/2025
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