Individual
DR. TOPAZ JERILYN HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
4154 W VIENNA RD, CLIO, MI 48420-2809
(810) 687-1008
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(248) 266-4200
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704257322
MI
363LG0600X
Gerontology Nurse Practitioner
4704257322
MI
363LP2300X
Primary Care Nurse Practitioner
4704257322
MI
Other
Enumeration date
09/25/2013
Last updated
12/06/2023
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