Provider Demographics
NPI:1366870792
Name:ATKINSON, LYNNETTE (ARNP)
Entity type:Individual
Prefix:
First Name:LYNNETTE
Middle Name:
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 SW 20TH PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-7734
Mailing Address - Country:US
Mailing Address - Phone:352-622-7008
Mailing Address - Fax:352-622-4072
Practice Address - Street 1:2930 SE 3RD CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0420
Practice Address - Country:US
Practice Address - Phone:352-622-7008
Practice Address - Fax:352-622-4072
Is Sole Proprietor?:No
Enumeration Date:2013-10-22
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2627562363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner