Provider Demographics
NPI:1962066308
Name:S HOLLINGSWORTH, B CHRISTINE (RNFA)
Entity type:Individual
Prefix:MRS
First Name:B
Middle Name:CHRISTINE
Last Name:S HOLLINGSWORTH
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 HILLCREST PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-7686
Mailing Address - Country:US
Mailing Address - Phone:541-773-6700
Mailing Address - Fax:866-430-4035
Practice Address - Street 1:3200 HILLCREST PARK DR STE 200
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-7686
Practice Address - Country:US
Practice Address - Phone:541-773-6700
Practice Address - Fax:866-430-4035
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR09700046RN163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant