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NPI Code Detail

MEDICARE: LYNN R GROSS FNP-C

MEDICARE: LYNN R GROSS FNP-C
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
1363LF0000XFamily Nurse PractitionerAP128227TX

General Provider Information

NPI Number : 1811377419
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN R GROSS FNP-C
Provider Business Mailing Address
First Line : 5655 W SPRING CREEK PKWY STE 200
Second Line :
City : PLANO
State : TX
Zip : 75024-4175
Country : US
Telephone Number : 972-599-9600
Fax Number : 972-599-9696
Provider Business Practice Location Address
First Line : 5655 W SPRING CREEK PKWY STE 200
Second Line :
City : PLANO
State : TX
Zip : 75024-4175
Country : US
Telephone Number : 972-599-9600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2015
Last Update Date : 08/12/2022

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Directions to “ LYNN R GROSS FNP-C” Practice Location

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