Individual provider Active NPI

Jamerson Holloway, DNP, MBA, RN, FADLN

  • Ambulatory Care Registered Nurse
  • North Las Vegas, NV
National Provider Identifier
1104784149
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
818144 Issued in NV
Practice address
1820 Featherbrook Ave
North Las Vegas, NV 89031-5052
Phone
(702) 275-5309
NPI assigned
Jan 9, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WM0705X 818144 NV
Ambulatory Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP2201X 818144 NV Primary

Addresses

Primary practice location

1820 Featherbrook Ave
North Las Vegas, NV 89031-5052

Mailing address

1820 Featherbrook Ave
North Las Vegas, NV 89031-5052
Phone (702) 275-5309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration, Registered Nurse

State licenses

LicenseStateTypeSpecialty
818144NVMDAmbulatory Care Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1104784149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 FEATHERBROOK AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890315052",
            "telephone_number": "702-275-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 FEATHERBROOK AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890315052",
            "telephone_number": "702-275-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "JAMERSON",
        "credential": "DNP, MBA, RN, FADLN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NV",
            "license": "818144",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NV",
            "license": "818144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.