Healthcare Provider Details

I. General information

NPI: 1588148431
Provider Name (Legal Business Name): CHRISTINA N HOLMAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2018
Last Update Date: 08/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 HOSPITAL CIR STE B
BATESVILLE AR
72501-7343
US

IV. Provider business mailing address

16 HOSPITAL CIR STE B
BATESVILLE AR
72501-7343
US

V. Phone/Fax

Practice location:
  • Phone: 870-793-7800
  • Fax: 870-793-7801
Mailing address:
  • Phone: 870-793-7800
  • Fax: 870-793-7801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: