Individual
MRS. ADDIE HOLLEMAN HOLCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 575-1800
(228) 865-3038
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
886309
MS
363LG0600X
Gerontology Nurse Practitioner
Primary
903801
MS
Other
Enumeration date
01/14/2020
Last updated
05/27/2025
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