Provider Demographics
NPI:1215506407
Name:LYNN, DARCIE ANN (APRN)
Entity type:Individual
Prefix:MS
First Name:DARCIE
Middle Name:ANN
Last Name:LYNN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:798. W. CHAMPLAIN LANE
Mailing Address - Street 2:
Mailing Address - City:CITRUS SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34434
Mailing Address - Country:US
Mailing Address - Phone:813-598-0053
Mailing Address - Fax:239-790-2624
Practice Address - Street 1:11349 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-5404
Practice Address - Country:US
Practice Address - Phone:352-616-7600
Practice Address - Fax:352-616-7601
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL11015130363LP0808X
FL9261885163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health