Individual
MRS. AVIS GIBSON HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
990 HAMMOND DR STE 600, ATLANTA, GA 30328-5510
(678) 861-1832
Mailing address
3300 N TRIUMPH BLVD STE 500, LEHI, UT 84043-6475
(801) 821-2613
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN259419
GA
Other
Enumeration date
02/16/2024
Last updated
07/15/2025
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