IndividualActive
Jacquelyn Holloway, REGISTERED NURSE
NPI 1376155754 · Adult Psychiatric/Mental Health Registered Nurse · Bedford, TX
Provider details
- NPI number
- 1376155754
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 890576 (TX)
Practice location
801 Forest Ridge Dr Ste 104
Bedford, TX 76022-7240
Phone: (405) 596-2830
Mailing address
Po Box 1744
Bedrord, TX 76022
Registry dates
- Enumerated
- 2020-08-18
- Last updated
- 2022-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.