Search › Mississippi › 363A00000X
Brandon Holley, MSPAS, PA-C
NPI 1770962698 · on the registry since 2015
Practice
- Address
- 2434 S Eason Blvd
Tupelo, MS 38804 - Phone
- (662) 528-4349
- Fax
- (662) 680-6416
- Organisation at this address
- Northeast Mental Health-Mental Retardation Commission
Northeast Mental Health/Mental Retardation CommissionInferred from a shared address, not stated in the registry. - Clinicians at this address
- 642
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 101YM0800X
363A00000X - Licence states on file
- TN, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi