Individual
HOLLY ANN MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
600 GRESHAM DR FL 7, NORFOLK, VA 23507-1904
(757) 388-3447
Mailing address
112 SPARKS DR, FOREST CITY, NC 28043-9021
(828) 351-6000
(828) 287-7436
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024176838
VA
363LG0600X
Gerontology Nurse Practitioner
Primary
0024176838
VA
363LP2300X
Primary Care Nurse Practitioner
0024176838
VA
Other
Enumeration date
11/12/2018
Last updated
03/25/2026
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