Individual
MARCIA JONES HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
122 S HOLLY ST, BUDE, MS 39630-5602
(601) 522-9535
Mailing address
364 SILOAM RD, MAGEE, MS 39111-5324
(601) 522-9535
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
883795
MS
363LF0000X
Family Nurse Practitioner
905877
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0041162
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905877
MS
Other
Enumeration date
10/07/2021
Last updated
04/13/2026
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