Jamerson Holloway, DNP, MBA, RN, FADLN
Registered Nurse, Ambulatory Care in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1104784149
StatusActive
Last updated in NPPESJan 9, 2026
Details
- NPI
- 1104784149
- Entity type
- Individual (NPI-1)
- Name
- Jamerson Holloway
- Credential
- DNP, MBA, RN, FADLN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2026
- Certification date
- Jan 9, 2026
- Last updated
- Jan 9, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP2201X | Registered Nurse, Ambulatory Care | 818144 | NV | Yes |
| 163WM0705X | Registered Nurse, Medical-Surgical | 818144 | NV |
Practice location
1820 Featherbrook AveNorth Las Vegas, NV 89031-5052
Phone 702-275-5309
Mailing address
1820 Featherbrook AveNorth Las Vegas, NV 89031-5052
Phone 702-275-5309
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Ambulatory Care Registered Nurse providers in North Las Vegas, NV
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