Jessica Marie Holloway
Peer Specialist in Tulsa, OK. Individual provider (NPI-1).
NPI number1295514735
StatusActive
Last updated in NPPESFeb 2, 2024
Details
- NPI
- 1295514735
- Entity type
- Individual (NPI-1)
- Name
- Jessica Marie Holloway
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2023
- Certification date
- Feb 2, 2024
- Last updated
- Feb 2, 2024
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 |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
6333 E Skelly DrTulsa, OK 74135-6106
Phone 918-664-4224
Mailing address
6438 W 61st StTulsa, OK 74131-8803
Phone 918-859-7752
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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.
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All 963 Peer Specialist providers in Tulsa · All 22,692 providers in Tulsa
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