Armstrong, Holly

Armstrong, Holly is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Armstrong, Holly can be contacted via phone (601) 984-5160.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Fax: (601) 815-6986
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R862270 Mississippi

Profile Details

NPI number 1124062930
LBN Legal business name Armstrong, Holly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 27th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124062930 NPPES
Mississippi MEDICAID 04888590
Mississippi Other 202011213A

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