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Individual

HOLLY LYNN ARCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
655 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3756
(770) 536-6300
(770) 536-6006
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP124097
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01313439
AMERIGROUP
GA
01
5226059
WELLCARE
GA
05
621666278H
GA
05
621666278I
GA
01
P00827394
MEDICARE RAILROAD
GA
Enumeration date
01/05/2006
Last updated
10/30/2025
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