Organization
NURSE ON THE GO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARIS HOLMAN RN (OWNER)
(901) 517-8678
Entity
Organization
Contact information
Practice address
1748 WOOTEN DR, NESBIT, MS 38651-2301
(901) 517-8678
Mailing address
1748 WOOTEN DR, NESBIT, MS 38651-2301
(901) 517-8678
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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