Individual provider · Type 1 NPI

Jonathan Holloway, DNP

Nurse Practitioner · Moscow, ID

NPI number 1760089841 Active

Practice location

803 S Main St Ste 210
Moscow, ID 83843-2695

Fax (509) 252-9300

Mailing address

PO Box 500409
Saipan, MP 96950-0409

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR190104 (MP)
Registered Nurse 163W00000XRN208920 (AZ)
Nurse Practitioner 363L00000XAPRN-4900 (HI)
Family Nurse Practitioner 363LF0000X248356 (AZ)
Nurse Practitioner Primary 363L00000X74509 (ID)

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 1760089841

Jonathan Holloway, DNP's National Provider Identifier is 1760089841, issued on Oct 2, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Moscow, ID. The record was last updated on Apr 25, 2025.