Individual
JESSICA MARIE HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
437 CEDAR ST, KINGMAN, KS 67068-1324
(620) 553-5040
Mailing address
180 RANGER ST, HAYSVILLE, KS 67060-1510
(316) 680-0258
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
79848
KS
Other
Enumeration date
12/07/2020
Last updated
12/08/2020
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