Ethan Jacob Hollis

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

P9L2R2C7 Issued in OK

Practice address

420 E University Dr
Denton, TX 76209-2095

Phone

(580) 630-5806

NPI assigned

Nov 5, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Willow Hollis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1376413450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3789 OLD HIGHWAY 70",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734010577",
            "telephone_number": "940-297-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E UNIVERSITY DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762092095",
            "telephone_number": "580-630-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "ETHAN",
        "middle_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OK",
            "license": "P9L2R2C7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLOW",
            "last_name": "HOLLIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Raine Hoggard
• Barbara Jeanne Hokamp, PH.D.
• Mark Anthony Hokamp, LCSW
• Peter L Holland, D. D. S.
• Kevin Hollemans, LPC
• Stacy Holman
• Michael Carl Holst, OTR
• Kara Lauren Holt, M.S. ED., LPC, RPT
• Kary Neil Holt, P.A.-C.
• Rachel Holtgreive

• Nurse's Aide in Denton, TX
• Providers in Denton, TX by specialty
• Nurse's Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.