Provider Demographics
NPI:1588148431
Name:HOLMAN, CHRISTINA N (PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:N
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HOSPITAL CIR STE B
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-7343
Mailing Address - Country:US
Mailing Address - Phone:870-793-7800
Mailing Address - Fax:870-793-7801
Practice Address - Street 1:16 HOSPITAL CIR STE B
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7343
Practice Address - Country:US
Practice Address - Phone:870-793-7800
Practice Address - Fax:870-793-7801
Is Sole Proprietor?:No
Enumeration Date:2018-09-17
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant