Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 901356 | MS |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP09073 | LA |
NPI | 1033581152 |
---|---|
Provider Name | Belinda Harrell Holden |
First Address | Gulfport, MS 39503-4176 |
Second Address | Gulfport, MS 39503-4176 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2015 |
Last Update Date | 09/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00018213 | (05) | MS |