Holloway, Lucy S
Holloway, Lucy S is an individual health care provider with primary practice located at 509 Brookman Dr , Brookhaven MS 39601-2326. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Holloway, Lucy S can be contacted via phone (601) 823-5204.Contact Information
Primary practice address
509 Brookman Dr
Brookhaven MS 39601-2326
Phone: (601) 823-5204
Fax: (601) 833-1224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R873648 | Mississippi |
Profile Details
| NPI number | 1629349931 |
|---|---|
| LBN Legal business name | Holloway, Lucy S |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2012 |
| Last updated | Oct 25th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629349931 | NPPES |
| Mississippi | MEDICAID | 06571037 |
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