Provider Demographics
NPI:1386117042
Name:HOLLEY, APRIL (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:HOLLEY
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 COUNTY ROAD 602
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-1118
Mailing Address - Country:US
Mailing Address - Phone:662-415-1822
Mailing Address - Fax:
Practice Address - Street 1:2113 S TATE ST
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-7912
Practice Address - Country:US
Practice Address - Phone:662-331-1497
Practice Address - Fax:662-331-1495
Is Sole Proprietor?:No
Enumeration Date:2019-01-05
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS903089363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS894150OtherRN LICENSE
MS903089OtherNURSE PRACTITIONER LICENSE