Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Holloway, DNP

Individual provider Registered Nurse · NPI 1760089841

Dr. Jonathan Holloway, DNP is a Nurse Practitioner in Moscow, Idaho. Qualified in 2020, 6 years ago. Practices with Hilo Benioff Medical Center, a 131-clinician group and accepts Medicare assignment. Licensed in Arizona, Hawaii, Idaho and Northern Mariana Islands.

Years since qualifying
6
Licensed in
AZ, HI, ID, MP
In the registry since
2020
Specialties on file
5
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

803 S Main St Ste 210
Moscow, ID 83843-2695
Phone: (509) 228-1000
Fax: (509) 252-9300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 74509 (ID)
Registered Nurse Taxonomy 163W00000X · Licence R190104 (MP)
Registered Nurse Taxonomy 163W00000X · Licence RN208920 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN-4900 (HI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 248356 (AZ)

Record details

NPI number1760089841
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorNo
NPI enumeratedOctober 2, 2020
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025
Mailing addressPo Box 500409, Saipan, MP 96950-0409

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hilo Benioff Medical Center — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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