Holly Lynn Stewart, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN258128 Issued in GA

Practice address

4321 Bethel Church Rd
Gibson, GA 30810-4904

Phone

(706) 699-1742

NPI assigned

Jun 19, 2022

Last updated

May 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1295466407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 WASHINGTON AVE",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821971",
            "telephone_number": "762-220-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 BETHEL CHURCH RD",
            "city": "GIBSON",
            "state": "GA",
            "postal_code": "308104904",
            "telephone_number": "706-699-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-19",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN258128",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN258128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glascock County Board of Health (Glascock County Health Deartment)
• Glascock County Boe
• Glascock County Health Care LLC (The Southern Living Center)
• Glascock County Health Care LLC (Gibson Health and Rehabilitation)
• Nona Joe Lord, RN, BSN
• Debbie B Williford, LMT

• Nurse Practitioner in Gibson, GA
• Providers in Gibson, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.