TRACY MICHELLE HOLLADAY APRN - NPI 1962938431 - Nurse Practitioner in Jonesboro, AR

Q: What is Tracy Holladay's NPI number?

The NPI number for Tracy Holladay is 1962938431. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Q: What is Tracy Holladay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Holladay was last updated on May 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Tracy Michelle Holladay Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY MICHELLE HOLLADAY APRN (NPI 1962938431) is an individual gerontology provider in Jonesboro, Arkansas, licensed in Arkansas (A005140) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1962938431

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameTRACY MICHELLE HOLLADAYCredential: APRN

Location Address300 CARSON STJonesboro, AR 72401-3104

Mailing Address300 Carson StJonesboro, AR 72401-3104 · (870) 932-1198

Phone(870) 932-1198

Sole ProprietorNo

Enumeration DateMay 3, 2017

✔ NPI 1962938431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in AR · A005140

300 CARSON ST, Jonesboro, AR 72401

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM ALBERTO MUNIZ VAZQUEZ MD

Student in an Organized Health Care Education/Training Program