P Praxis·MD
● Active Type 1 · Individual

DR. Jonathan Holloway, DNP

Nurse Practitioner·Moscow, ID· NPI 1760089841 · Enumerated 2020 · 5 years on NPI
Holloway is 1 of 6 nurse practitioner providers in Moscow and 1 of 658 in Idaho.
NPI age
5 years
Enumerated 2020-10-02
Primary specialty
Nurse Practitioner
Plus 4 subspecialties
Licensed in
ID, MP, AZ, HI
4 states
Status
Active
No deactivations on record
Last NPPES update
2025-04-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
5 years
↓ 3 yr below median (8 yr)
State licenses
4 states
Top 83% — 16% of peers are multi-state
Subspecialties
2
In the 34% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-10Enumerated in NPPES
2020 2026

Where they practice

Practice location
803 S Main St Ste 210
Moscow, ID 838432695
📞 5092281000fax 5092529300
Mailing address
Po Box 500409
Saipan, MP 969500409

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    ID license #74509HI license #APRN-4900 taxonomy 363L00000X
  • Nurse Practitioner
    Definition to come...
    AZ license #248356 taxonomy 363LF0000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    MP license #R190104AZ license #RN208920 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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