Individual
KACIE CAMERON HOLLIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11145 HIGHWAY 6 W, THAXTON, MS 38871-9024
(662) 489-8500
Mailing address
102 EDOM HILL DR, TUPELO, MS 38804-7119
(662) 255-6611
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903319
MS
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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