Ortho Express Holding Company, LLC
Physician Assistant in Holly Springs, MS. Organization (NPI-2).
NPI number1629596804
StatusActive
Last updated in NPPESMay 20, 2026
Details
- NPI
- 1629596804
- Entity type
- Organization (NPI-2)
- Legal business name
- Ortho Express Holding Company, LLC
- Organization subpart
- Yes
- Enumeration date
- Sep 7, 2017
- Certification date
- May 20, 2026
- Last updated
- May 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – | |
| 207X00000X | Orthopaedic Surgery | – | – |
Other names
- Orthoxpress Of Holly Springs (Doing Business As)
Practice location
273 Whaley Dr Ste BHolly Springs, MS 38635-3243
Phone 662-333-8181 · Fax 662-534-2330
Mailing address
206 Oxford RdNew Albany, MS 38652-3115
Phone 662-534-2227 · Fax 662-534-2330
Authorized official
Jennifer C Bullock
President
6625342227
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