Individual provider · Type 1 NPI

Andria D. Holloway, NP

Nurse Practitioner · Gulfport, MS

NPI number 1902742349 Active

Practice location

3504 Meadowlark Dr
Gulfport, MS 39501-7229

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF05230338 (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 1902742349

Andria D. Holloway, NP's National Provider Identifier is 1902742349, issued on Apr 27, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gulfport, MS. The record was last updated on Apr 27, 2026.