Individual provider · Type 1 NPI
Stacie Dianne Holloway, FNP-BC
Nurse Practitioner · Atlanta, GA
Practice location
1100 Johnson Fy Rd NE
Atlanta, GA 30342-1709
Mailing address
131 Bushy Head Rd
Cherry Log, GA 30522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN333566 (GA) |
| Family Nurse Practitioner | 363LF0000X | R871001 (MS) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1598048894
Stacie Dianne Holloway, FNP-BC's National Provider Identifier is 1598048894, issued on Sep 22, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Mar 4, 2025.