Holloway, Jacquelyn H

Holloway, Jacquelyn H is an sole proprietor health care provider with primary practice located at 801 Forest Ridge Dr Ste 104 , Bedford TX 76022-7240. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Adult. Nursing Service Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Holloway, Jacquelyn H can be contacted via phone (405) 596-2830.

Contact Information

Primary practice address
801 Forest Ridge Dr Ste 104 Bedford TX 76022-7240
Phone: (405) 596-2830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 890576 Texas
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 890576 Texas

Profile Details

NPI number 1376155754
LBN Legal business name Holloway, Jacquelyn H
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2020
Last updated Nov 30th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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