Individual provider · Type 1 NPI
Holly Allison Lightkep, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Decatur, GA
NPI number
1790128874
Active
Practice location
1670 Clairmont Rd
Decatur, GA 30033-4004
Mailing address
4903 Fielding Way
Stone Mountain, GA 30088-3952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN210453 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1790128874
Holly Allison Lightkep, PMHNP-BC's National Provider Identifier is 1790128874, issued on Apr 9, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Decatur, GA. The record was last updated on Apr 9, 2013.