Individual
HOLLIANNA MCLEOD MUNNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5430
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5430
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
902886
MS
363LF0000X
Family Nurse Practitioner
Primary
902886
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05071800
—
MS
Enumeration date
08/28/2018
Last updated
07/28/2020
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