Mr Reid Andrew Holly, PMHNP-BC | |
2090 Old Taylor Rd, Oxford, MS 38655-5245 | |
(601) 366-4696 | |
Not Available |
Full Name | Mr Reid Andrew Holly |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2090 Old Taylor Rd, Oxford, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407576382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 905504 (Mississippi) | Primary |
Entity Name | Tmk Enterprises |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184251795 PECOS PAC ID: 1254760341 Enrollment ID: O20200413000974 |
Mailing Address | Practice Location Address |
---|---|
Mr Reid Andrew Holly, PMHNP-BC 4157 Fieldstone Loop, Oxford, MS 38655-3463 Ph: (601) 331-3295 | Mr Reid Andrew Holly, PMHNP-BC 2090 Old Taylor Rd, Oxford, MS 38655-5245 Ph: (601) 366-4696 |
Mrs. Rachel Jamison Sledge, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1487 Belk Blvd, Oxford, MS 38655 Phone: 662-234-1090 Fax: 662-234-0432 | |
Kathryn B Elliott, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 551 Azalea Dr, Oxford, MS 38655 Phone: 662-234-0332 Fax: 662-234-2891 | |
Katherine Waters Shields, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Baptist Memorial Cir Ste 120, Oxford, MS 38655 Phone: 662-244-2288 Fax: 662-636-2285 | |
Kirsten A Cox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2580 Jackson Ave W Ste 44, Oxford, MS 38655 Phone: 662-234-9112 Fax: 662-234-9058 | |
Michelle Cullen, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1109 N Lamar Blvd, Suite 1, Oxford, MS 38655 Phone: 662-238-7860 Fax: 662-238-7871 | |
Jene' White Smith, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1397 Belk Blvd, Oxford, MS 38655 Phone: 662-236-4675 Fax: 662-281-0819 | |
Tammy L. Pelegrin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 Azalea Dr, Ste A, Oxford, MS 38655 Phone: 662-236-7738 Fax: 662-236-9642 |