Archer, Holly Lynn

Archer, Holly Lynn is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Archer, Holly Lynn can be contacted via phone (770) 536-6300.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (770) 536-6300
Fax: (770) 536-6006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN124097 Georgia

Profile Details

NPI number 1740268101
LBN Legal business name Archer, Holly Lynn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Aug 23rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740268101 NPPES
Georgia Other P00827394 MEDICARE RAILROAD
Georgia MEDICAID 621666278I MEDICARE RAILROAD
Georgia Other 01313439 MEDICARE RAILROAD
Georgia MEDICAID 621666278H MEDICARE RAILROAD
Georgia Other 5226059 MEDICARE RAILROAD

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