Provider Demographics
NPI:1366022246
Name:HOLLINGSWORTH, HEATHER ROBERSON (RN)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ROBERSON
Last Name:HOLLINGSWORTH
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Gender:F
Credentials:RN
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Mailing Address - Street 1:350 N HUMPHREYS BLVD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2177
Mailing Address - Country:US
Mailing Address - Phone:601-553-6000
Mailing Address - Fax:601-703-0124
Practice Address - Street 1:2124 14TH ST
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-4040
Practice Address - Country:US
Practice Address - Phone:601-553-6000
Practice Address - Fax:601-703-0124
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2025-07-03
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Provider Licenses
StateLicense IDTaxonomies
MS905812363LA2100X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care