Individual provider · Type 1 NPI

Constance Hollis, RN

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Blytheville, AR

NPI number 1174805584 Active

Practice location

634 W Main St
Blytheville, AR 72315-3336

Fax (870) 780-6987

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807XR68850 (AR)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1174805584

Constance Hollis, RN's National Provider Identifier is 1174805584, issued on Sep 12, 2011. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Blytheville, AR. The record was last updated on Sep 12, 2011.