| Marcia Jones Holloway, RN | |
|
109 Elm Ave, Richton, MS 39476-9042 | |
| (601) 912-5045 | |
| Not Available |
| Full Name | Marcia Jones Holloway |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 109 Elm Ave, Richton, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992467898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 883795 (Mississippi) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 905877 (Mississippi) | Primary |
| Entity Name | Medical Systems Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740555267 PECOS PAC ID: 5092964643 Enrollment ID: O20131024001113 |
| Entity Name | Behavioral Consultant Solutions, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275282311 PECOS PAC ID: 1951777572 Enrollment ID: O20221021001154 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcia Jones Holloway, RN 237 Zion Hill Church Rd, Silver Creek, MS 39663-5001 Ph: (601) 522-9535 | Marcia Jones Holloway, RN 109 Elm Ave, Richton, MS 39476-9042 Ph: (601) 912-5045 |
Ms. Janell G Carter, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 206 Bay Ave, Richton, MS 39476 Phone: 601-788-6316 Fax: 601-788-2230 | |
Jillian Christina Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 91570 Highway 42, Richton, MS 39476 Phone: 601-791-2101 | |
Willena Causey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 N Front St, Richton, MS 39476 Phone: 769-369-0010 | |
Crystal Dale Grantham, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Bay Ave, Richton, MS 39476 Phone: 601-788-9222 Fax: 601-788-6318 | |
Angela Denise Haigler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Highway 15 S, Richton, MS 39476 Phone: 601-319-7660 | |
Ms. Jerryl Mcgowan-craft, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 411 Oak Street, Richton, MS 39476 Phone: 601-408-0719 | |
Mr. James Sawyer Williams, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Bay Ave, Richton, MS 39476 Phone: 601-788-9222 |