Most Relevant Information
Provider Data
| NPI Number: | 1003045410 |
| Provider Name: | PATSY LENAN HOLLOWAY FNP BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R847138 |
Most Important Dates
| Enumeration Date: | 07/07/2009 |
| Last Updated: | 07/07/2009 |
Provider Practice Location
605 S ARCHUSA AVE
QUITMAN
MS
393552331
Practice Location Phone/Fax
| Phone: | 6017766925 |
| Fax: | 6017767148 |
Provider Mailing Location
503 LYNDA ST
QUITMAN
MS
393552432
Provider Mailing Phone/Fax
| Phone: | 6017766925 |
| Fax: | 6017767148 |