MRS. JACQUELINE HOLLOWAY APRN NPI 1326610189

NPI Information

NPI: 1326610189
Provider Name: MRS. JACQUELINE HOLLOWAY, APRN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
525 CASSIDY RD
THOMASVILLE, GA
ZIP 31792
Phone: (229) 225-5076
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MRS. Jacqueline Holloway, APRN is a psychiatric/mental health registered nurse in Thomasville, GA. MRS. Jacqueline Holloway, APRN NPI is 1326610189. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

525 CASSIDY RD
THOMASVILLE, GA
ZIP 31792-088
Phone: (229) 225-5076

The NPI 1326610189 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2021 and was last updated on 7/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN188889	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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