Provider Demographics
NPI:1932552643
Name:HOLCOMB, HOPE NEWELL (CFNP)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:NEWELL
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:663 FALCON LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MS
Mailing Address - Zip Code:39073-8153
Mailing Address - Country:US
Mailing Address - Phone:601-845-3782
Mailing Address - Fax:601-992-5798
Practice Address - Street 1:1679 OLD FANNIN RD
Practice Address - Street 2:STE E
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-8101
Practice Address - Country:US
Practice Address - Phone:601-992-6511
Practice Address - Fax:601-992-5798
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-18
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS901665363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily