HOLLIE WALDRON


Address: 408 Council Cir Ste C, Tupelo, MS 38801-4949
Phone: 6623777546

HOLLIE WALDRON (NPI# 1316500887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316500887
Entity Type Individual
Full Name HOLLIE WALDRON
Credential NP
Practice Address 408 Council Cir Ste C
Tupelo
MS 38801-4949
Practice Telephone 6623777546
Practice Fax Number 6623776330
Mailing Telephone 6623777546
Mailing Fax Number 6623776330
Enumeration Date 2019-04-19
Last Update Date 2019-04-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
903242 MS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 408 COUNCIL CIR STE C
City TUPELO
State MS
Zip Code 38801-4949

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194339275 Friendship, LLC Pharmacy 4123 W Main St, Tupelo, MS 38801 2020-09-04
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1821556838 Wilco Healthcare of North Mississippi, Pllc Point of Service 1514 Co Rd 41, Tupelo, MS 38801 2019-03-08
1821565235 Stephanie K Cagle Nurse Practitioner 218 S Thomas St Ste 120-121, Tupelo, MS 38801 2018-10-24
1073092326 Lauren Parrish Nurse Practitioner 1573 Medical Park Circle, Tupelo, MS 38801 2018-08-08
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1043700933 Hooks Diabetes & Medicine Clinic Non-Pharmacy Dispensing Site 2610 Traceland Drive, Ste A, Tupelo, MS 38801 2018-05-16
1073035903 Annette C Riddle Counselor 1004 Eisenhower Drive, Tupelo, MS 38801 2017-07-12
1548709678 Jaime Summers Nurse Practitioner 2780 West Jackson St, Tupelo, MS 38801 2017-02-22
1073975611 Heath Bryan Coleman, Dds of Mississippi II, Pllc Dentist 1168 Cross Creek Drive, Tupelo, MS 38801 2016-03-23
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1538697172 Salley Williams Nurse Practitioner 845 S Madison St, Tupelo, MS 38801-4905 2017-05-26
1851757413 Kellie Thornton Nurse Practitioner 450 E President Ave, Tupelo, MS 38801-5599 2016-01-12
1396159026 Kathy Beard Thomas Nurse Practitioner 830 S Gloster St, Tupelo, MS 38801-4934 2014-06-20
1437561982 Lakesha Butler Nurse Practitioner 845 S Madison St, Tupelo, MS 38801-4905 2014-06-02
1881005858 Meghan Mills Nurse Practitioner 830 S Gloster St, Tupelo, MS 38801-4934 2014-05-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063975621 Sheila Ann Frederick Nurse Practitioner 65 Patton Cemetary Rd, Fulton, MS 38843-9353 2019-04-10
1992263685 Nadine Theresa James Nurse Practitioner 1214 Velma St, Hattiesburg, MS 39402-2751 2019-03-12
1396202396 Roxane Theresa Moncure Nurse Practitioner 919 Rutherford Dr, Jackson, MS 39206-2033 2019-02-26
1750889416 Katherine Bolden Nurse Practitioner 1666 Highway 19 S, Meridian, MS 39301-8209 2018-01-29
1306350129 Tamika M Broome Nurse Practitioner 350 W Woodrow Wilson Ave # 411, Jackson, MS 39213-7681 2017-12-01
1992227177 Charisma T. Cummings Nurse Practitioner 102 Riverview Drive, Suite A, Flowood, MS 39232 2017-07-10
1134589930 Rebecca L. Cauthen Nurse Practitioner 885 Liberty Rd Ste 300, Flowood, MS 39232-9006 2016-03-07
1114399284 Kristie G Jenkins Nurse Practitioner 2908 S Lamar Blvd, Suite 100, Oxford, MS 38655-5354 2015-10-28
1699099911 Michael Don King Nurse Practitioner 188 W Oxford St, Pontotoc, MS 38863-2006 2010-03-15
1073840021 Alanna Jillian Wright Nurse Practitioner 1815 Hospital Dr Ste 140b, Jackson, MS 39204-3425 2009-11-12
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Competitor

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City TUPELO
Zip Code 38801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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