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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417623216

Jade Alysse Holloway is a Student in an Organized Health Care Education/Training Program in Waco, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021
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Practice location Address checks out

4900 Sanger Ave
Waco, TX 76710-5866
Phone: (254) 848-6284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 118847 (TX)

Record details

NPI number1417623216
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 20, 2021
Last updated in NPPESAugust 20, 2021
Certification dateAugust 20, 2021

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