Provider Demographics
NPI:1871787549
Name:HOLLINGSWORTH, MARK ELLIOTT (FNP-C)
Entity type:Individual
Prefix:MR
First Name:MARK
Middle Name:ELLIOTT
Last Name:HOLLINGSWORTH
Suffix:
Gender:M
Credentials:FNP-C
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Mailing Address - Street 1:4141 SHIPYARD BLVD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-6156
Mailing Address - Country:US
Mailing Address - Phone:910-792-9925
Mailing Address - Fax:910-792-9926
Practice Address - Street 1:4141 SHIPYARD BLVD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6156
Practice Address - Country:US
Practice Address - Phone:910-792-9925
Practice Address - Fax:910-792-9926
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2014-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC201628363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care