Jacquelynn Hollins
Skilled Nursing Facility in Jackson, MS. Individual provider (NPI-1).
NPI number1164093621
StatusActive
Last updated in NPPESJul 6, 2021
Details
- NPI
- 1164093621
- Entity type
- Individual (NPI-1)
- Name
- Jacquelynn Hollins
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2021
- Certification date
- Jul 6, 2021
- Last updated
- Jul 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
1225 N State St Fl 5Jackson, MS 39202-2064
Phone 601-968-1052
Mailing address
293 Hollins RdPinola, MS 39149-3060
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