Doctor Name: | ELLA OLEHONNA LYNCH |
NPI Number: | 1184611139 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C, PMHNP-BC |
License Number: | 5000705 |
Business Practice Address: | 773 Old Main Rd Pembroke, NC - 283728753 |
Business Phone Number: | 9107759201 |
Business Fax Number: | 9105218540 |
Mailing Address: | Po Box 3605, PEMBROKE |
State: | NC |
Postal Code: | 283723605 |
Phone Number: | 9107403508 |
Fax Number: | 9105218540 |
NPI Enumeration Date: | 10/04/2005 |
NPI Last Update Date: | 12/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 5000705 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |