person
Mr. Hollis Langston Purviance III, CFNP
Family Nurse Practitioner in Jackson, Mississippi
NPI 1023028925

Hollis Langston Purviance III is a Family Nurse Practitioner based in Jackson, MS and is specialized in Family. Hollis Langston Purviance III practices in Jackson, MS and has the professional credentials of CFNP. The NPI Number for Hollis Langston Purviance III is 1023028925 and holds a License No. R859975 (Mississippi).

The current practice location address for Hollis Langston Purviance III is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-1000 and via fax at 601-984-6533. You can also correspond with Hollis Langston Purviance III through the mailing address at 2500 N STATE ST, JACKSON, MS - 39216-4500 (mailing address contact number: 601-496-9794).

Location: 2500 N State St, Jackson, MS, 39216-4500
person
Provider Profile Details
NPI Number
1023028925
Provider Name
Hollis Langston Purviance III
Credential
CFNP
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-984-1000
Fax Number
601-984-6533
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8425307 05 MS
512G700003 01 MS UNIVERSITY PHYSICIANS
P01194846 01 MS RR MEDICARE PTAN
08425307 05 MS
P00618110 01 MS RR PTAN
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216
Phone Number
601-984-1000
Fax Number
601-984-6533
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216
Phone Number
601-984-1000
Fax Number
601-984-6533
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R859975 (Mississippi)
Definition
Definition to come...
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