Johnson, Hollye R
Johnson, Hollye R is an individual health care provider with primary practice located at 6501 Dogwood View Parkway Suite A, Jackson MS 39213. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Johnson, Hollye R can be contacted via phone (601) 899-3340.Contact Information
Primary practice address
6501 Dogwood View Parkway Suite A
Jackson MS 39213
Phone: (601) 899-3340
Fax: (601) 899-3343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 15974 | Mississippi |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 15974 | Mississippi |
Profile Details
| NPI number | 1700815321 |
|---|---|
| LBN Legal business name | Johnson, Hollye R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 27th, 2018 - about 7 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 | 1700815321 | NPPES |
| Mississippi | MEDICAID | 04056301 |
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