Ashley Holifield Atkinson, MSN, APRN, FNP-C

Individual provider Active NPI Nurse Practitioner · Madison, MS

NPI 1720719453 · NPPES record last updated Jun 22, 2022

Key facts

NPI
1720719453
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
905374 (MS)
Practice address
160 Fountains Blvd
Madison, MS 39110-6366
Phone
(601) 981-2525
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
905374MSMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 905374 MS Yes

Addresses

Primary practice location

160 Fountains Blvd
Madison, MS 39110-6366

Mailing address

160 Fountains Blvd
Madison, MS 39110-6366
Phone (601) 981-2525

Other providers in Madison, MS

All providers in Madison, MS · Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.