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Individual

HOLLEY M PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP-PC

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
07/13/2026
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