Individual
MRS. JESSICA LEE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA, RN, EMT
Contact information
Practice address
4301 W MARKHAM ST # 508, LITTLE ROCK, AR 72205-7101
(501) 526-0772
Mailing address
4301 W MARKHAM ST # 508, LITTLE ROCK, AR 72205-7199
(501) 526-0759
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-523
AR
Other
Enumeration date
04/10/2007
Last updated
08/11/2020
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