Richard Dawson Holloway III, FNP-C
Nurse Practitioner in Memphis, TN. Individual provider (NPI-1).
NPI number1942754635
StatusActive
Last updated in NPPESAug 10, 2023
Details
- NPI
- 1942754635
- Entity type
- Individual (NPI-1)
- Name
- Richard Dawson Holloway III
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2016
- Certification date
- Aug 10, 2023
- Last updated
- Aug 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | apn0000020944 | TN | Yes |
| 363L00000X | Nurse Practitioner | 901463 | MS |
Other names
- Ricky Holloway (Professional Name)
Practice location
1068 Cresthaven RdMemphis, TN 38119-0800
Phone 901-866-8525
Mailing address
1068 Cresthaven RdMemphis, TN 38119-0800
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