Provider Demographics
NPI:1073942660
Name:VAN EPPS, LYNN (CNP)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:VAN EPPS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:STINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNP
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:615-705-1725
Mailing Address - Fax:864-725-7707
Practice Address - Street 1:9727 POTEET JOURDANTON FWY STE 108
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-4575
Practice Address - Country:US
Practice Address - Phone:210-923-4372
Practice Address - Fax:210-923-5581
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131499363LA2200X
OHAPRN.CNP.15157363LA2200X
OHNP-15157363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2551671OtherPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH9338635OtherPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH0094618Medicaid
OH0094618Medicaid
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #