Individual
JOANNE VANESSA HOLLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
E-8139
AR
208000000X
Pediatrics Physician
Primary
S2063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5YY24
AR BCBS
AR
Enumeration date
01/18/2013
Last updated
07/11/2019
Update your record
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