Individual provider · Type 1 NPI
Mica Kristin Holloway, FNP-C
Nurse Practitioner · Mooreland, OK
Practice location
607 S. Elm St.
Mooreland, OK 73852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 106039 (OK) |
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…
About NPI 1700442886
Mica Kristin Holloway, FNP-C's National Provider Identifier is 1700442886, issued on May 14, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mooreland, OK. The record was last updated on Jul 13, 2026.