Individual
MISTY LYNNE HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2425 HIGHWAY 77, SOUTHSIDE, AL 35907-7907
(256) 442-4141
(256) 442-4157
Mailing address
2425 HIGHWAY 77, SOUTHSIDE, AL 35907-7907
(256) 442-4141
(256) 442-4157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-092629
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
AL BCBS
AL
05
—
PENDING
—
AL
Enumeration date
08/21/2008
Last updated
10/01/2020
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