JACQUELINE FLYNN NPI 1073924700

NPI Information

NPI: 1073924700
Provider Name: JACQUELINE FLYNN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
846 NORTH COCOA BLVD
SUITE A
COCOA, FL
ZIP 32922
Phone: (321) 544-2743
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Jacqueline Flynn is a mental health counselor in Cocoa, FL. Jacqueline Flynn NPI is 1073924700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

846 NORTH COCOA BLVD
SUITE A
COCOA, FL
ZIP 32922-623
Phone: (321) 544-2743

The enumeration date for this NPI number is 5/15/2014 and was last updated on 3/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	MH13594	FLORIDA	No
2	101YS0200X	Counselor	School	1080175	FLORIDA	No
3	101YM0800X	Counselor	Mental Health	MH13594	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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