Provider Demographics
NPI:1891537007
Name:HOLLOWAY-JOHNSON, SABRINA CASSANDRA
Entity type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:CASSANDRA
Last Name:HOLLOWAY-JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3037 SPRINGMEADOW LN
Mailing Address - Street 2:
Mailing Address - City:TROTWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45426-4704
Mailing Address - Country:US
Mailing Address - Phone:937-520-5957
Mailing Address - Fax:
Practice Address - Street 1:3037 SPRINGMEADOW LN
Practice Address - Street 2:
Practice Address - City:TROTWOOD
Practice Address - State:OH
Practice Address - Zip Code:45426-4704
Practice Address - Country:US
Practice Address - Phone:937-520-5957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker