Archer, Holly Lynn
Archer, Holly Lynn is an individual health care provider with primary practice located at 655 Jesse Jewell Pkwy Se , Gainesville GA 30501-3756. 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
655 Jesse Jewell Pkwy Se
Gainesville GA 30501-3756
Phone: (770) 536-6300
Fax: (770) 536-6006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN-NP124097 | 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 | Oct 30th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740268101 | NPPES |
| Georgia | Other | 01313439 | AMERIGROUP |
| Georgia | MEDICAID | 621666278H | AMERIGROUP |
| Georgia | MEDICAID | 621666278I | AMERIGROUP |
| Georgia | Other | 5226059 | AMERIGROUP |
| Georgia | Other | P00827394 | AMERIGROUP |
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