Individual
JOSHUA RYAN HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
10021 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1604
(260) 426-8117
(260) 420-0817
Mailing address
801 W GARDNER DR, MARION, IN 46952-1819
(765) 651-4278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28188891A
IN
Other
Enumeration date
07/10/2017
Last updated
09/15/2023
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