Individual
HOLLY MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4000
Mailing address
62 ROBERT E LEE RD, HATTIESBURG, MS 39401-9331
(601) 307-5187
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
904011
MS
363LF0000X
Family Nurse Practitioner
Primary
904011
MS
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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