Provider Demographics
NPI:1821106733
Name:BROWN, HOLLY LYNNE (NP)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:LYNNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2279 BRIGHT WATER DR
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-7373
Mailing Address - Country:US
Mailing Address - Phone:770-315-9614
Mailing Address - Fax:770-982-3514
Practice Address - Street 1:925 GARRETT ST SE
Practice Address - Street 2:SUITE 313
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-6826
Practice Address - Country:US
Practice Address - Phone:404-323-1807
Practice Address - Fax:866-885-6381
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN 151417 NP363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology