Holloway, Carolyn
Holloway, Carolyn is an individual health care provider with primary practice located at 3450 Highway 80 W , Jackson MS 39209-7201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Holloway, Carolyn can be contacted via phone (601) 321-2497.Contact Information
Primary practice address
3450 Highway 80 W
Jackson MS 39209-7201
Phone: (601) 321-2497
Fax: (601) 321-2476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R723428 | Mississippi |
Profile Details
| NPI number | 1144656927 |
|---|---|
| LBN Legal business name | Holloway, Carolyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2013 |
| Last updated | Oct 30th, 2013 - about 13 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 | 1144656927 | NPPES |
| Mississippi | MEDICAID | 00018209 |
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