Healthcare Provider Details

I. General information

NPI: 1164052700
Provider Name (Legal Business Name): TAYLOR HOLLOWAY DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 MEDICAL PLACE
SEYMOUR JOHNSON AFB NC
27531
US

IV. Provider business mailing address

118 KINGSMILL DR
PIKEVILLE NC
27863-9661
US

V. Phone/Fax

Practice location:
  • Phone: 919-722-1580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF01200860
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: