Jessica Lee Holloway PA, RN, EMT

NPI 1326261199 - Physician Assistant - 363A00000X

NPI Details
NPI 1326261199
Gender Female
Enumeration Date 04/10/2007
Last Updated 08/07/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1 CHILDRENS WAY
SLOT 677
LITTLE ROCK AR, 72202-3500, US
Phone (501) 364-5858
Fax (501) 364-5869
Business Location
4301 W MARKHAM ST
SLOT #783
LITTLE ROCK AR, 72205-7101, US
Phone (501) 614-2006
Fax (501) 526-6562
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Mrs. Jessica Lee Holloway PA, RN, EMT NPI is 1326261199, taxonomy code is 363A00000X Jessica Lee Holloway PA, RN, EMT physically located at 1 Childrens Way, Little Rock AR, 72202-3500. NPI Number Jessica Lee Holloway PA, RN, EMT has the Individual type.

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1326261199 NPI number is provided on an as is basis without warranty of any kind. 1326261199 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Lee Holloway PA, RN, EMT are for informational purposes only.