Provider Demographics
NPI:1730332511
Name:BRIGANCE, HOLLY T (APRN-BC)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:T
Last Name:BRIGANCE
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:POCAHONTAS
Mailing Address - State:AR
Mailing Address - Zip Code:72455-9438
Mailing Address - Country:US
Mailing Address - Phone:870-892-4467
Mailing Address - Fax:870-892-4407
Practice Address - Street 1:2901 MEDICAL CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:POCAHONTAS
Practice Address - State:AR
Practice Address - Zip Code:72455
Practice Address - Country:US
Practice Address - Phone:870-892-4467
Practice Address - Fax:870-892-4407
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA02921363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner