Individual
MS. JENNIFER HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
909 WALNUT ST FL 3, PHILADELPHIA, PA 19107-5211
(215) 955-7000
Mailing address
240 FIR TREE CT, MARLTON, NJ 08053-2010
(856) 313-1105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN553234
PA
363LF0000X
Family Nurse Practitioner
Primary
SP010727
PA
Other
Enumeration date
08/02/2010
Last updated
12/17/2012
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