person
Penny Marie Holley, FNP
Family Nurse Practitioner in Southaven, Mississippi
NPI 1013524495

Penny Marie Holley is a Family Nurse Practitioner based in Southaven, MS and is specialized in Family. Penny Marie Holley practices in Southaven, MS and has the professional credentials of FNP. The NPI Number for Penny Marie Holley is 1013524495 and holds a License No. 868493 (Mississippi).

The current practice location address for Penny Marie Holley is 3964 Goodman Rd E Ste 128-129, Southaven, MS and can be reached out via phone at 662-655-0456 and via fax at 662-655-0457.

Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS, 38672-8761
person
Provider Profile Details
NPI Number
1013524495
Provider Name
Penny Marie Holley
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3964 Goodman Rd E Ste 128-129, Southaven, MS, 38672-8761
Phone Number
662-655-0456
Fax Number
662-655-0457
Provider Enumeration Date
09/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3964 Goodman Rd E Ste 128-129
City
State
Zip
38672-8761
Phone Number
662-655-0456
Fax Number
662-655-0457
person
Provider Business Mailing Address Details
Address
3964 Goodman Rd E Ste 128-129
City
State
Zip
38672-8761
Phone Number
662-655-0456
Fax Number
662-655-0457
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
868493 (Mississippi)
Definition
Definition to come...
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