DR. JODIE SUSAN HOLLOWAY M.D.
NPI 1992921688
Legal Medicine in Mandeville, LA

Active since April 18, 2007
112 RANDOM OAKS LN, MANDEVILLE, LA 70448(985) 674-0988(985) 674-5308 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jodie Susan Holloway M.d. NPPES

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

DR. JODIE SUSAN HOLLOWAY M.D. (NPI 1992921688) is an individual legal medicine provider in Mandeville, Louisiana, licensed in Louisiana (019557) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1992921688
Entity TypeIndividualFemale
Primary Taxonomy173000000X
Provider Legal NameDR. JODIE SUSAN HOLLOWAYCredential: M.D.
Location Address112 RANDOM OAKS LNMandeville, LA 70448-4565
Mailing Address112 Random Oaks LnMandeville, LA 70448-4565 · (985) 674-0988 · Fax (985) 674-5308
Fax(985) 674-5308
Sole ProprietorYes
Enumeration DateApril 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1992921688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License Licensed in LA · 019557
Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

112 RANDOM OAKS LN, Mandeville, LA 70448

Other Identifiers 3

Medicaid1932744LA
Medicare ID-Type Unspecified5L704LA
Medicare UPINE33974LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodie Holloway's NPI number?

The NPI number for Jodie Holloway is 1992921688. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Jodie Holloway located?

Jodie Holloway practices at 112 Random Oaks Ln, Mandeville, LA 70448. The listed phone number is (985) 674-0988.

What is Jodie Holloway's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for Jodie Holloway was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.