Individual provider · Type 1 NPI
Jacqueline Holloway, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Thomasville, GA
NPI number
1326610189
Active
Practice location
525 Cassidy Rd
Thomasville, GA 31792-4088
Mailing address
906 W 3rd Ave
Albany, GA 31701-1706
Other practice locations
- 800 1/2 S Slappey Blvd, Albany, GA 31701-2616 · (229) 473-5751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN188889 (GA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN188889 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1326610189
Jacqueline Holloway, PMHNP-BC's National Provider Identifier is 1326610189, issued on Jul 12, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Thomasville, GA. The record was last updated on Aug 9, 2024.