Individual
AUDLINE MARIA HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
11111 HOUZE RD STE 225, ROSWELL, GA 30076-5618
(770) 603-0123
(770) 910-9919
Mailing address
11111 HOUZE RD STE 225, ROSWELL, GA 30076-5618
(770) 603-0123
(770) 910-9919
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN236320
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP236320
GA
Other
Enumeration date
11/05/2020
Last updated
10/23/2025
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