Provider Demographics
NPI:1912443987
Name:LYNCH, WHITTNEY (NP)
Entity type:Individual
Prefix:
First Name:WHITTNEY
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:873 HULL RD UNIT 12
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-0738
Mailing Address - Country:US
Mailing Address - Phone:586-925-3360
Mailing Address - Fax:
Practice Address - Street 1:873 HULL RD UNIT 12
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-0738
Practice Address - Country:US
Practice Address - Phone:586-925-3360
Practice Address - Fax:386-603-6007
Is Sole Proprietor?:No
Enumeration Date:2017-01-13
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9476878363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care