SHANE LYNN PMHNP-BC NPI 1679924146

NPI Information

NPI: 1679924146
Provider Name: SHANE LYNN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2710 PALM HARBOR BLVD # 403B
PALM HARBOR, FL
ZIP 34683
Phone: (277) 275-3601
Get Directions

Shane Lynn, PMHNP-BC is a psychiatric/mental health nurse practitioner in Palm Harbor, FL. Shane Lynn, PMHNP-BC NPI is 1679924146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2710 PALM HARBOR BLVD # 403B
PALM HARBOR, FL
ZIP 34683-666
Phone: (277) 275-3601
Fax: (727) 238-8137

The NPI 1679924146 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2016 and was last updated on 11/26/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP129984	TEXAS	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN9398198	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7276414435	OTHER	FLORIDA	NEW GRADUATE

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: 4/28/2024

NPI Synchronization or Removal

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