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NPI Code Detail

MEDICARE: MS. JASMYNE LYONS PMHNP-BC

MEDICARE: MS. JASMYNE LYONS PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner18470TN
2363LP0808XPsychiatric/Mental Health Nurse Practitioner60925632WA

General Provider Information

NPI Number : 1710303284
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JASMYNE LYONS PMHNP-BC
Provider Business Mailing Address
First Line : 522 W RIVERSIDE AVE STE N
Second Line :
City : SPOKANE
State : WA
Zip : 99201-0580
Country : US
Telephone Number : 615-829-8035
Fax Number :
Provider Business Practice Location Address
First Line : 101 ELLIOTT AVE W STE 500
Second Line :
City : SEATTLE
State : WA
Zip : 98119-4292
Country : US
Telephone Number : 615-829-8035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2014
Last Update Date : 07/20/2023

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