# DR. JONATHAN HOLLOWAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760089841
- **Gender:** Man
- **Credential:** DNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | R190104 | MP | — |
| 163W00000X | Registered Nurse | RN208920 | AZ | — |
| 363L00000X | Nurse Practitioner | 74509 | ID | Yes |
| 363L00000X | Nurse Practitioner | APRN-4900 | HI | — |
| 363LF0000X | Family Nurse Practitioner | 248356 | AZ | — |

## Other

- **Enumeration date:** 10/02/2020
- **Last updated:** 04/25/2025