Individual provider · Type 1 NPI
Jacquelyn H. Holloway, REGISTERED NURSE
Adult Psychiatric/Mental Health Registered Nurse · Bedford, TX
NPI number
1376155754
Active
Practice location
801 Forest Ridge Dr Ste 104
Bedford, TX 76022-7240
Mailing address
PO Box 1744
Bedrord, TX 76022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 890576 (TX) |
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 890576 (TX) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
About NPI 1376155754
Jacquelyn H. Holloway, REGISTERED NURSE's National Provider Identifier is 1376155754, issued on Aug 18, 2020. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Bedford, TX. The record was last updated on Nov 30, 2022.