Individual
HOLLY LYNN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4321 BETHEL CHURCH RD, GIBSON, GA 30810-4904
(706) 699-1742
Mailing address
510 WASHINGTON AVE, SANDERSVILLE, GA 31082-1971
(762) 220-1199
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN258128
GA
363L00000X
Nurse Practitioner
Primary
RN258128
GA
Other
Enumeration date
06/19/2022
Last updated
05/18/2023
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