Individual Healthcare Provider
Jacob C. Holloway, APRN-CNP
Provider's NPPES record last updated: November 21, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1851751630
- Primary Specialty
- Nurse Practitioner
- Practice Location
- Washington Court House, Ohio
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 11:22 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(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 or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Taxonomy code 363L00000X Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Ohio)
- APRN.CNP.0030557
- Nurse Practitioner (Texas)
- AP130409
Practice Locations
Practice Location
1430 Columbus Ave
Washington Court House, Ohio 43160-1703
Phone: (740) 335-1210
Additional Practice Location
1040 W Jefferson St
Brownsville, Texas 78520-6338
Phone: (956) 350-2844
Fax: (956) 350-0999
Additional Practice Location
600 W Main St
Troy, Ohio 45373-3384
Phone: (937) 980-7010
Additional Practice Location
6147 State Route 122
Middletown, Ohio 45005-5201
Phone: (513) 261-3410
Additional Practice Location
100 Kettering Way
Franklin, Ohio 45005-1155
Phone: (937) 458-4700
Additional Practice Location
3535 Pentagon Blvd
Beavercreek, Ohio 45431-1705
Phone: (937) 702-4500
Additional Practice Location
4000 Miamisburg Centerville Rd
Miamisburg, Ohio 45342-7615
Phone: (937) 384-8791
Additional Practice Location
3535 Southern Blvd
Kettering, Ohio 45429-1221
Phone: (937) 395-8166
Additional Practice Location
1141 N Monroe Dr
Xenia, Ohio 45385-1619
Phone: (937) 352-2500
Additional Practice Location
1 Kettering Way
Piqua, Ohio 45356-4146
Phone: (937) 916-2625
Additional Practice Location
410 W 10th Ave
Columbus, Ohio 43210-1240
Phone: (614) 293-8000
Fax: (614) 293-3124
Record Information
- Enumeration Date
- March 7, 2016
- Provider's NPPES Record Last Updated
- November 21, 2023
- Certification Date
- November 21, 2023
- NPISignal NPPES Dataset
- August 2026
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