Provider Demographics
NPI:1396574034
Name:HOLLINGS, ELIZABETH VIRGINIA (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:VIRGINIA
Last Name:HOLLINGS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 RICHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-2229
Mailing Address - Country:US
Mailing Address - Phone:662-315-2325
Mailing Address - Fax:
Practice Address - Street 1:109 RICHWOOD DR
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-2229
Practice Address - Country:US
Practice Address - Phone:662-315-2325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS906730363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health