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

Jacob Holloway

Individual provider Case Manager/Care Coordinator · NPI 1821609025

Jacob Holloway is a Case Manager/Care Coordinator in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2020.

Licensed in
AR
In the registry since
2020
Specialties on file
2

Practice location Address checks out

60 W Sunbridge Dr
Fayetteville, AR 72703-1822
Phone: (479) 695-1240
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence PLMSW (AR)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1821609025
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2020
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023

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